Individual
ERICA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-2751
Mailing address
3810 S 143RD EAST AVE, TULSA, OK 74134-5722
(918) 438-4257
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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