NPI 1356377824

Luis Ventura Gorospe, MD

Practitioner Surgery Physician Broken Arrow, OK

Practice location

Address: 705 W Queens St, Broken Arrow, OK 74012-1767
Phone: (918) 252-2800
Fax: (918) 252-2888
Mailing address: 1200 W Cherokee St, Wagoner, OK 74467-4624

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10249 (OK)

Other Surgery providers in Oklahoma →

Registry record

NPI: 1356377824
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2006
Record last updated: 9 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.