Organization
GILSTRAP CLINICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL D GILSTRAP DC-APRN-CNP (PRESIDENT/OWNER)
(918) 241-3901
Entity
Organization
Contact information
Practice address
3900 S 113TH WEST AVE, SAND SPRINGS, OK 74063-2724
(918) 241-3901
(918) 241-3902
Mailing address
3900 S 113TH WEST AVE, SAND SPRINGS, OK 74063-2724
(918) 241-3901
(918) 241-3902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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