Individual
MR. CLIFFORD JOHN GILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1101 PARKWOODS DR, NOBLE, OK 73068-9330
(405) 872-5868
(405) 872-5887
Mailing address
PO BOX 2065, NOBLE, OK 73068-2065
(405) 872-5868
(405) 872-5887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2639
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856
—
OK
01
—
5841654
AETNA
OK
01
—
8022776002
CIGNA
OK
Enumeration date
07/20/2005
Last updated
05/29/2008
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