NPI 1013914324

Gwen Canarias Fuentes, MD

Practitioner Pediatrics Physician Ardmore, OK

Practice location

Address: 919 15th Ave NW, Ardmore, OK 73401-1809
Phone: (580) 223-5693
Fax: (580) 223-8909

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 13171 (OK)

Other Pediatrics providers in Oklahoma →

Registry record

NPI: 1013914324
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2005
Record last updated: 9 Jul 2007

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.