JUAN FULGENCIO MERCADO GUZMAN

TINKER AFB, OK
NPI1407204829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-05-26
Last Update Date2025-08-01
Business Address
JUAN FULGENCIO MERCADO GUZMAN PA-C
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145-8716
Phone number: 405-582-6644
Mailing Address
JUAN FULGENCIO MERCADO GUZMAN PA-C
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145-8716
Phone number: