GEORGE PASSION QUEJA

HUGO, OK
NPI1427049865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: OK  14309)
Additional Taxonomies208600000X Surgery
(Licence: TX  G 6598)
Enumeration Date2005-11-03
Last Update Date2012-04-17
Business Address
-- GEORGE PASSION QUEJA MD
1201 E JACKSON ST
HUGO, OK 74743
Phone number: 580-326-6423
Mailing Address
-- GEORGE PASSION QUEJA MD
PO BOX 876
ANTLERS, OK 74523-2636
Phone number: 580-298-3351