Organization
GORDON P. LAIRD, D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON P LAIRD D.O. (OWNER)
(580) 363-0052
Entity
Organization
Contact information
Practice address
534 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-3602
(187) 622-9529
Mailing address
534 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-3602
(918) 762-2952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
1532
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200510340A
—
OK
Enumeration date
10/09/2013
Last updated
09/23/2024
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