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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWEN FUENTES MD PEDIATRIC CLINIC

Active Organization

GWEN FUENTES MD PEDIATRIC CLINIC is a Medical Specialty Clinic organization located in ARDMORE, Oklahoma. NPI 1083830608 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · ARDMORE, OK

Registration Details

NPI Number
1083830608
Provider Type
Organization
NPI Issued
Apr 18, 2007 (19.35689317264 yrs)
Last Updated
Jan 30, 2011
Licenses
13171 (OK)
13171 (OK)

Practice Information

Address
919 15TH AVE NW
ARDMORE, OK, 734011809
Browse OK providers · Browse ZIP 73401
Phone
5802235693
Fax
5802238909
Primary Specialty
Medical Specialty Clinic
261QM2500X
Additional Specialty
Medical Specialty Clinic

Other Medical Specialty Clinic Organizations in ARDMORE, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.