# GORDON P. LAIRD, D.O. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083041966
- **Authorized official:** GORDON P LAIRD D.O. (OWNER)
- **Authorized official phone:** (580) 363-0052

## Contact information

- **Practice address:** 534 ILLINOIS ST, PAWNEE, OK 74058-2036
- **Practice address phone:** (918) 762-3602
- **Practice address fax:** (187) 622-9529
- **Mailing address:** 534 ILLINOIS ST, PAWNEE, OK 74058-2036
- **Mailing address phone:** (918) 762-3602
- **Mailing address fax:** (918) 762-2952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | 1532 | OK | — |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 09/23/2024