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NPI Code Detail

MEDICARE: DR. NORMA IRIS NATAL M.D.

MEDICARE: DR. NORMA IRIS NATAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician15454PR

General Provider Information

NPI Number : 1477559268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMA IRIS NATAL M.D.
Provider Business Mailing Address
First Line : 11509 NW 6TH ST
Second Line :
City : YUKON
State : OK
Zip : 73099-6568
Country : US
Telephone Number : 405-324-2447
Fax Number :
Provider Business Practice Location Address
First Line : RR 1 BOX 3060
Second Line :
City : CLINTON
State : OK
Zip : 73601-9303
Country : US
Telephone Number : 580-323-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2005
Last Update Date : 07/08/2007

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Directions to “ DR. NORMA IRIS NATAL M.D.” Practice Location

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