Garrick Lee Shreck DO

NPI 1043205651 - Family Medicine - 207Q00000X

NPI Details
NPI 1043205651
Gender Male
Enumeration Date 09/20/2005
Last Updated 07/13/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
STILLWATER OK, 74074-4222, US
Phone (405) 533-1474
Fax (405) 742-4990
Business Location
1921 W 6TH AVE
STILLWATER OK, 74074-4204, US
Phone (405) 533-2433
Fax (405) 533-2434
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 3786
Remove 1043205651 NPI Number

According to our database, Dr. Garrick Lee Shreck DO NPI is 1043205651, taxonomy code is 207Q00000X and license number is 3786, license state is located at Oklahoma. Garrick Lee Shreck DO physically located at 610 S Walnut St, Stillwater OK, 74074-4222. NPI Number Garrick Lee Shreck DO has the Individual type.

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1043205651 NPI number is provided on an as is basis without warranty of any kind. 1043205651 is maintained by the National Plan & Provider Enumeration System. The contents of Garrick Lee Shreck DO are for informational purposes only.