Male or Other

Dr. Gary K. Goforth DO

Family Medicine Physician in Tulsa, OK(View on Map)

Full Name

Dr. Gary Kris Goforth DO

NPI Number

1245281187

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/15/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

1291

Contact
Information

Purpose

Mailing
Location

Address

8523 E 11TH ST
8523 E 11TH ST

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74112-7947
74112-7947

Country

US
US

Telephone Number

(918) 835-6921
(918) 835-6921

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/06/2024

Provider Address

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