Individual
THERESA L GAVULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 14500, OKLAHOMA CITY, OK 73104-4600
(405) 271-5311
(405) 271-3767
Mailing address
1200 N PHILLIPS AVE, SUITE 10,000, OKLAHOMA CITY, OK 73104-4600
(405) 271-4412
(405) 271-3265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1312
OK
Other
Enumeration date
10/23/2006
Last updated
09/12/2011
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