Individual
MARCOS RODRIGUEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7500
Mailing address
4329 SE 56TH CIR, OKLAHOMA CITY, OK 73135-2503
14056094361
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R83620
OK
363LF0000X
Family Nurse Practitioner
Primary
R83620
OK
Other
Enumeration date
08/03/2017
Last updated
03/17/2018
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