Individual
ROBERT CHARLES DICINTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 295-2200
Mailing address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 295-2200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AM0700X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019280A
—
OK
01
—
564
STATE LICENSE
OK
Enumeration date
10/11/2006
Last updated
07/08/2007
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