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Alfonso Acosta, DO
Student in an Organized Health Care Education/Training Program in Stillwater, Oklahoma
NPI 1639862675

Alfonso Acosta is a Student in an Organized Health Care Education/Training Program based in Stillwater, OK. Alfonso Acosta practices in Stillwater, OK and has the professional credentials of DO. The NPI Number for Alfonso Acosta is 1639862675 and holds a License No. (Oklahoma).

The current practice location address for Alfonso Acosta is 1323 W 6Th Ave, Stillwater, OK and can be reached out via phone at 405-554-4890.

Location: 1323 W 6Th Ave, Stillwater, OK, 74075-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639862675
Provider Name
Alfonso Acosta
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1323 W 6Th Ave, Stillwater, OK, 74075-2900
Phone Number
405-554-4890
Fax Number
Provider Enumeration Date
05/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1323 W 6Th Ave
City
Stillwater
State
Oklahoma
Zip
74074-4306
Phone Number
405-554-4890
Fax Number
person
Provider Business Mailing Address Details
Address
1323 W 6Th Ave
City
Stillwater
State
Oklahoma
Zip
74074-4306
Phone Number
405-554-4890
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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