Whalio Doctors

NPI 1770504037

Miguel Antonio Camacho-Garrido, MD

Practitioner Pediatric Adolescent Medicine Physician Ardmore, OK

Practice location

Address
1104 Walnut Dr, Ardmore, OK 73401-2353
Phone
(580) 226-0543
Fax
(580) 226-2284

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 18653 (OK)

Registry record

NPI
1770504037
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jul 2006
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.