Gerald Lewis Dickman, D.o., Pllc

NPI 1497944573 - Clinic/Center - 261QP2300X

NPI Details
NPI 1497944573
Enumeration Date 10/15/2007
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD LEWIS GERALD
Position PHYSICIAN
Phone (405) 945-4828
Fax (405) 945-4831
Practice Location
3400 NW EXPRESSWAY
BUILDING C, SUITE 604
OKLAHOMA CITY OK, 73112-4493, US
Phone (405) 945-4828
Fax (405) 945-4831
Business Location
3400 NW EXPRESSWAY
BUILDING C, SUITE 604
OKLAHOMA CITY OK, 73112-4493, US
Phone (405) 945-4828
Fax (405) 945-4831
Toxanomy
Taxonomy Code 261QP2300X
License State Oklahoma
License Number 1726
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According to our database, Gerald Lewis Dickman, D.o., Pllc NPI is 1497944573, taxonomy code is 261QP2300X and license number is 1726, license state is located at Oklahoma. Gerald Lewis Dickman, D.o., Pllc physically located at 3400 Nw Expressway, Oklahoma City OK, 73112-4493. NPI Number 1033115704 has the healthcare provider type.

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1497944573 NPI number is provided on an as is basis without warranty of any kind. 1497944573 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Lewis Dickman, D.o., Pllc are for informational purposes only.