| Grace Mata Ruidera, M.d., P.c. | |
|
8121 National Ave Suite 309 Midwest City OK 73110-7530 | |
| (405) 732-3990 | |
| Not Available |
| Full Name | Grace Mata Ruidera, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8121 National Ave, Midwest City, Oklahoma |
| Authorized Official Name and Position | Grace Mata Ruidera (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 4057323990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Mata Ruidera, M.d., P.c. 8121 National Ave Suite 309 Midwest City OK 73110-7530 Ph: (405) 732-3990 | Grace Mata Ruidera, M.d., P.c. 8121 National Ave Suite 309 Midwest City OK 73110-7530 Ph: (405) 732-3990 |
| NPI Number | 1043523566 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043523566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19279 (Oklahoma) | Primary |
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