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Organization

STEPHEN C. GAUTHIER M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN C. GAUTHIER M.D. (PHYSICIAN)
(405) 842-3792
Entity
Organization

Contact information

Practice address
6516 N OLIE AVE, SUITE E, OKLAHOMA CITY, OK 73116-7226
(405) 286-5606
(405) 286-5607
Mailing address
6516 N OLIE AVE, SUITE E, OKLAHOMA CITY, OK 73116-7226
(405) 286-5606
(405) 286-5607

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
21236
OK

Other

Enumeration date
07/03/2006
Last updated
02/25/2014
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