Doctor Name: | AMADEO G ATENDIDO |
NPI Number: | 1942244561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13414 |
Business Practice Address: | 124 N 6th St Okeene, OK - 73763 |
Business Phone Number: | 5808224404 |
Business Fax Number: | 5808224403 |
Mailing Address: | 124 N 6th St, OKEENE |
State: | OK |
Postal Code: | 73763 |
Phone Number: | 5808224404 |
Fax Number: | 5808224403 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |