Individual
JACLYN C URQUIOLA SORZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
940 NE 13TH ST # 2300, OKLAHOMA CITY, OK 73104-5008
(405) 271-2429
(407) 975-0413
Mailing address
9100 NW 117TH ST, YUKON, OK 73099-8945
(786) 390-6297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS16013
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
7610
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
06/06/2022
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