Provider Demographics
NPI:1972671964
Name:RAMIREZ-ROSSY, CECILIO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CECILIO
Middle Name:RAFAEL
Last Name:RAMIREZ-ROSSY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:LAWTON INDIAN HOSPITAL
Mailing Address - Street 2:1515 LAWRIE TATUM RD
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-3099
Mailing Address - Country:US
Mailing Address - Phone:580-353-0350
Mailing Address - Fax:580-353-2859
Practice Address - Street 1:LAWTON INDIAN HOSPITAL
Practice Address - Street 2:1515 LAWRIE TATUM RD
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-3099
Practice Address - Country:US
Practice Address - Phone:580-353-0350
Practice Address - Fax:580-353-2859
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR9751207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE78434Medicare UPIN