Individual
CARALAS ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1712 ELTON AVE, OKLAHOMA CITY, OK 73111-1721
(404) 968-6319
Mailing address
1712 ELTON AVE, OKLAHOMA CITY, OK 73111-1721
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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