| Mari Mercado, D.o. | |
|
1615 S Eucalyptus Ave Suite 211 Broken Arrow OK 74012-5990 | |
| (918) 369-5505 | |
| (918) 369-5508 |
| Full Name | Mari Mercado, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Mariolga Mercado (PRESIDENT) |
| Authorized Official Contact | 9183695505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mari Mercado, D.o. 1615 S Eucalyptus Ave Suite 211 Broken Arrow OK 74012-5990 Ph: (918) 369-5505 | Mari Mercado, D.o. 1615 S Eucalyptus Ave Suite 211 Broken Arrow OK 74012-5990 Ph: (918) 369-5505 |
| NPI Number | 1114125911 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114125911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4101 (Oklahoma) | Primary |
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