Individual
CHARLES GEBETSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 293-3310
Mailing address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 293-3310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7107
OK
Other
Enumeration date
03/16/2006
Last updated
10/29/2007
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