| Mosaic MD | |
|
1401 N Lelia St Guymon OK 73942-3371 | |
| (405) 369-8282 | |
| (425) 250-8291 |
| Full Name | Mosaic MD |
|---|---|
| Speciality | General Practice |
| Location | 1401 N Lelia St, Guymon, Oklahoma |
| Authorized Official Name and Position | Gloria Ivette Rodriguez Cuadrado (OWNER) |
| Authorized Official Contact | 4053698282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic MD Po Box 350 Guymon OK 73942-0350 Ph: (405) 369-8282 | Mosaic MD 1401 N Lelia St Guymon OK 73942-3371 Ph: (405) 369-8282 |
| NPI Number | 1760007801 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760007801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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