NPI 1841627478

Duque PLLC

Organisation Point of Service Edmond, OK

Practice location

Address: 165 W 15th St, Edmond, OK 73013-3604
Phone: (405) 513-5894

Authorised official

Name: Ermilo S Duque
Title: President
Phone: (405) 513-5894

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 4033 (OK)

Other Point of Service providers in Oklahoma →

Registry record

NPI: 1841627478
Entity type: Organization
NPI issued: 27 Sep 2013
Record last updated: 27 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.