NPI | 1114125911 |
---|---|
Doing Business As | MARI MERCADO, D.O. |
Entity Type | Organization |
Authorized Contact | MARIOLGA MERCADO President 918-369-5505 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4101) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-07-12 |