# GILBRETH FAMILY MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1689843997
- **Authorized official:** DR. JUDITH M GILBRETH M.D. (OWNER/MANAGER)
- **Authorized official phone:** (580) 252-1918

## Contact information

- **Practice address:** 2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
- **Practice address phone:** (580) 252-1918
- **Practice address fax:** (580) 252-2333
- **Mailing address:** 2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
- **Mailing address phone:** (580) 252-1918
- **Mailing address fax:** (580) 252-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 19187 | OK | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100170200C | MEDICAID/SOONERCARE | OK |
| 01 | — | 100170200D | MEDICAID/SOONERCARE | OK |
| 01 | — | 467450776003 | BLUE CROSS BLUE SHIELD | OK |