Fuentes, Gwen Canarias

Fuentes, Gwen Canarias is an individual health care provider with primary practice located at 919 15Th Ave Nw , Ardmore OK 73401-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fuentes, Gwen Canarias can be contacted via phone (580) 223-5693.

Contact Information

Primary practice address
919 15Th Ave Nw Ardmore OK 73401-1809
Phone: (580) 223-5693
Fax: (580) 223-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13171 Oklahoma

Profile Details

NPI number 1013914324
LBN Legal business name Fuentes, Gwen Canarias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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