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Organization

OSVALDO LLAN DE ROSOS MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OSWALD LLANDEROSOS MD (PRESIDENT)
(405) 217-8500
Entity
Organization

Contact information

Practice address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
Mailing address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11647
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100108050A
OK
Enumeration date
02/28/2007
Last updated
11/17/2009
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