Individual
DR. YAZMIN ENCHAUTEGUI COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE # 5D, OKLAHOMA CITY, OK 73104-4637
(405) 271-4211
(405) 271-2263
Mailing address
920 STANTON L YOUNG BLVD # 2410, OKLAHOMA CITY, OK 73104-5036
(405) 271-4211
(405) 271-2263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18754
PR
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
35335
OK
207SG0201X
Clinical Genetics (M.D.) Physician
DR.0056958
CO
207SG0201X
Clinical Genetics (M.D.) Physician
ME129070
FL
Other
Enumeration date
03/26/2014
Last updated
12/15/2021
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