Individual
DR. MICHAEL WILLIAM GAYDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14140 N MANDY RD, TAHLEQUAH, OK 74464-0658
(918) 510-6432
Mailing address
8430 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 510-6432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2731
OK
Other
Enumeration date
02/18/2012
Last updated
01/08/2015
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