Carlos R Conesa, MD Valid NPI

Individual provider · General Practice Physician · Muskogee, OK

NPI

1366914111

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

21181 (PR)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-12-18

Last updated

2021-04-13