Organization
JAMIE L GORE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE L GORE D.O. (PRESIDENT)
(580) 225-5900
Entity
Organization
Contact information
Practice address
601 W 3RD ST, ELK CITY, OK 73644-5205
(580) 225-5900
Mailing address
601 W 3RD ST, ELK CITY, OK 73644-5205
(580) 225-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4298
OK
Other
Enumeration date
03/27/2007
Last updated
08/09/2007
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