Individual provider · NPI-1
John P Belardo, MD
Ophthalmology · Oklahoma City, OK
NPI number1720196314
StatusActive
Last updated in NPPESJun 29, 2011
Details
- NPI
- 1720196314
- Entity type
- Individual (NPI-1)
- Name
- John P Belardo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Jun 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 17979 | OK | Yes |
Practice location
11308 N Pennsylvania AveOklahoma City, OK 73120
Phone 405-755-7700 · Fax 405-463-0794
Mailing address
11308 N Pennsylvania AveOklahoma City, OK 73120
Phone 405-755-7700 · Fax 405-463-0794
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