Organization
SOUTHERN OKLAHOMA INFECTIOUS DISEASES CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL QUINONES-NAZARIO MD (PRESIDENT)
(580) 353-1094
Entity
Organization
Contact information
Practice address
5108 W GORE BLVD, SUITE 1, LAWTON, OK 73505-6025
(580) 353-1094
(580) 531-0270
Mailing address
PO BOX 6035, LAWTON, OK 73506-0035
(580) 353-1094
(580) 531-0270
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25783
OK
Other
Enumeration date
10/04/2007
Last updated
07/12/2010
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