Individual
MARY BATTOE GELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-3374
(918) 681-6814
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1047
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101970B
—
OK
Enumeration date
11/30/2005
Last updated
05/18/2022
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