Gilcrease Medical Center Pc
Family Medicine Physician in Tulsa, OK(View on Map)
Legal Business Name
Gilcrease Medical Center Pc
NPI Number
1104830090
NPI Type
Organization
Enumeration Date
07/28/2006
Specialties
(Taxonomies)Name
Code
207Q00000X
202C00000X
207QS0010X
Primary Taxonomy
Yes
No
No
Licenses
State
Oklahoma
License Number
16665
Contact
Information
Purpose
Mailing
Location
Address
7125 S. BRADEN AVE.
7125 S. BRADEN AVE.
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74136
74136
Country
US
US
Telephone Number
(918) 481-8100
(918) 481-8100
Authorized Official
Name
Dr. Gary Lee
Title or Position
OWNER
Telephone Number
(918) 381-6326
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/04/2011
Provider Address
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