Dr. Nate Richard Castillo, OD
Optometrist in Tahlequah, OK. Individual provider (NPI-1).
NPI number1770190779
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1770190779
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nate Richard Castillo
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2020
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3059 | OK | Yes |
Practice location
2625 Cambridge CirTahlequah, OK 74464-4690
Phone 918-704-6245
Mailing address
2625 Cambridge CirTahlequah, OK 74464-4690
Phone 918-704-6245
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All 83 Optometrist providers in Tahlequah · All 1,444 providers in Tahlequah
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