| Alexander P Gurrola Md Pc | |
|
812 12th Ave Nw Ardmore OK 73401-5708 | |
| (580) 226-6500 | |
| (580) 226-6524 |
| Full Name | Alexander P Gurrola Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 812 12th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Alexander P Gurrola (OWNER/PRESIDENT) |
| Authorized Official Contact | 5802266500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander P Gurrola Md Pc Po Box 1986 Ardmore OK 73401-1986 Ph: (580) 226-6500 | Alexander P Gurrola Md Pc 812 12th Ave Nw Ardmore OK 73401-5708 Ph: (580) 226-6500 |
| NPI Number | 1063513638 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063513638 | NPI | - | NPPES |
| 100214670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 16537 (Oklahoma) | Primary |
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