Organization
MOSAIC MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA IVETTE RODRIGUEZ CUADRADO MD (OWNER)
(405) 369-8282
Entity
Organization
Contact information
Practice address
1401 N LELIA ST, GUYMON, OK 73942-3371
(405) 369-8282
(425) 250-8291
Mailing address
PO BOX 350, GUYMON, OK 73942-0350
(405) 369-8282
(425) 250-8291
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/16/2020
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