Dr. Minda Unidad Roan, MD
Pediatrics in Lawton, OK. Individual provider (NPI-1).
NPI number1477539740
StatusActive
Last updated in NPPESMay 2, 2020
Details
- NPI
- 1477539740
- Entity type
- Individual (NPI-1)
- Name
- Dr. Minda Unidad Roan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2005
- Certification date
- May 2, 2020
- Last updated
- May 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MA44814 | NJ | Yes |
Other names
- Minda Unidad Saguinsin Roan (Other Name)
Practice location
110 Nw 31st St Ste 201Lawton, OK 73505-6100
Phone 580-585-5549 · Fax 580-699-8223
Mailing address
Po Box 7107Lawton, OK 73506-1107
Phone 580-574-7407
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