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Individual

MARITZA ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PEDIATRICIAN

Contact information

Practice address
115 N.E. OLDTOWN DRIVE, ANADARKO, OK 73005-0828
(405) 247-2458
(405) 247-6653
Mailing address
P.O. BOX 828, ANADARKO, OK 73005-0828
(405) 247-2458
(405) 247-6653

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35071329
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9171329
OK
Enumeration date
09/07/2006
Last updated
07/08/2007
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