Organization
MAYO DEAN GILSON,MD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYO DEAN GILSON M.D. (PRESIDENT)
(405) 463-0411
Entity
Organization
Contact information
Practice address
12400 VAL VERDE DR, OKLAHOMA CITY, OK 73142-5436
(405) 463-0411
(405) 748-3822
Mailing address
12400 VAL VERDE DR, OKLAHOMA CITY, OK 73142-5436
(405) 463-0411
(405) 748-3822
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
8854
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
OK
Enumeration date
08/05/2006
Last updated
08/22/2020
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