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Gwen Fuentes Md Pediatric Clinic
Medical Specialty Clinic/Center in Ardmore, Oklahoma
NPI 1083830608

Gwen Fuentes Md Pediatric Clinic is a Medical Specialty Clinic/Center based in Ardmore, OK and is specialized in Medical Specialty. Gwen Fuentes Md Pediatric Clinic practices in Ardmore, OK. The NPI Number for Gwen Fuentes Md Pediatric Clinic is 1083830608 and holds a License No. 13171 (Oklahoma).

The current practice location address for Gwen Fuentes Md Pediatric Clinic is 919 15Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-223-5693 and via fax at 580-223-8909. You can also correspond with Gwen Fuentes Md Pediatric Clinic through the mailing address at 919 15TH AVE NW, ARDMORE, OK - 73401-1809 (mailing address contact number: 580-223-5693).

Location: 919 15Th Ave Nw, Ardmore, OK, 73401-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083830608
Provider Name
Gwen Fuentes Md Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
919 15Th Ave Nw, Ardmore, OK, 73401-1809
Phone Number
580-223-5693
Fax Number
580-223-8909
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100209330A 05 OK
100209330C 05 OK
institution
Provider Business Practice Location Address Details
Address
919 15Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-1809
Phone Number
580-223-5693
Fax Number
580-223-8909
person
Provider Business Mailing Address Details
Address
919 15Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-1809
Phone Number
580-223-5693
Fax Number
580-223-8909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
13171 (Oklahoma)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
13171 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Medical Specialty Clinic/Center
919 15Th Ave Nw,
ARDMORE, OK
73401-1809
580-223-5693
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