Organization
MIGUEL SABEDRA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL REY SABEDRA M.D. (OWNER)
(580) 658-3203
Entity
Organization
Contact information
Practice address
501 N 4TH ST, MARLOW, OK 73055-1807
(580) 658-3203
(580) 658-8026
Mailing address
501 N 4TH ST, MARLOW, OK 73055-1807
(580) 658-3203
(580) 658-8026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17356
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131510B
—
OK
01
—
OK17356
OKLAHOMA STATE LICENSE
OK
Enumeration date
06/25/2010
Last updated
03/07/2023
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