# DIANNE B GASBARRA MD PLLC

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

## Provider details

- **NPI number:** 1538379367
- **Authorized official:** DIANNE GASBARRA MD (MANAGING PARTNER)
- **Authorized official phone:** (405) 749-0210

## Contact information

- **Practice address:** 4200 W MEMORIAL RD, SUITE 405, OKLAHOMA CITY, OK 73120-9350
- **Practice address phone:** (405) 749-0210
- **Practice address fax:** (405) 749-8311
- **Mailing address:** 4200 W MEMORIAL RD, SUITE 405, OKLAHOMA CITY, OK 73120-9350
- **Mailing address phone:** (405) 749-0210
- **Mailing address fax:** (405) 749-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 13952 | OK | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 03/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100020190A | — | OK |