Organization
GILCREASE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROBERT LEE M.D. (OWNER)
(918) 381-6326
Entity
Organization
Contact information
Practice address
7125 S. BRADEN AVE., TULSA, OK 74136
(918) 481-8100
(918) 481-8195
Mailing address
7125 S. BRADEN AVE., TULSA, OK 74136
(918) 481-8100
(918) 481-8195
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
16665
OK
207Q00000X
Family Medicine Physician
Primary
16665
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
16665
OK
Other
Enumeration date
07/28/2006
Last updated
05/04/2011
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