# GEMINI MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gemini Pawhuska Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265591416
- **Authorized official:** GAYLE J BURDEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (918) 331-1090

## Contact information

- **Practice address:** 701 LEAHY, PAWHUSKA, OK 74056
- **Practice address phone:** (918) 287-1310
- **Practice address fax:** (918) 287-1727
- **Mailing address:** 226 SE DEBELL AVE BLDG A, BARTLESVILLE, OK 74006-2343
- **Mailing address phone:** (918) 287-1310
- **Mailing address fax:** (918) 287-1727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2973 | OK | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 07/19/2011