Individual
JOHN P BELARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11308 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120
(405) 755-7700
(405) 463-0794
Mailing address
11308 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120
(405) 755-7700
(405) 463-0794
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17979
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016650A
—
OK
01
—
180045960
MEDICARE RAILROAD
OK
Enumeration date
08/25/2006
Last updated
06/29/2011
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