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Organization
AFFORDABLE WEIGHT LOSS AND PAIN MANAGEMENT CLINIC PLLC
Active
Organization
AFFORDABLE WEIGHT LOSS AND PAIN MANAGEMENT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT GORDON GREGORY MD (OWNER)
(580) 224-2669
Entity
Organization
Contact information
Practice address
810 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 224-2669
(580) 319-5294
Mailing address
810 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 224-2669
(580) 319-5294
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
13611
OK
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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