Organization
ALEXANDER P GURROLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER P GURROLA MD (OWNER/PRESIDENT)
(580) 226-6500
Entity
Organization
Contact information
Practice address
812 12TH AVE NW, ARDMORE, OK 73401-5708
(580) 226-6500
(580) 226-6524
Mailing address
PO BOX 1986, ARDMORE, OK 73401-1986
(580) 226-6500
(580) 226-6524
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16537
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214670A
—
OK
Enumeration date
09/26/2006
Last updated
03/10/2015
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