Organization
RICARDO M. VALBUENA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO M VALBUENA M.D. (PRESIDENT)
(918) 465-5681
Entity
Organization
Contact information
Practice address
1107 W MAIN ST, WILBURTON, OK 74578-5011
(918) 465-5681
(918) 465-5682
Mailing address
1107 W MAIN ST, WILBURTON, OK 74578-5011
(918) 465-5681
(918) 465-5682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064430B
—
OK
Enumeration date
12/15/2009
Last updated
12/15/2009
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