Individual
MARIO ANDRES BUSTOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 497-3140
(918) 497-2610
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35057
OK
Other
Enumeration date
05/26/2015
Last updated
08/10/2020
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