Organization
GEMINI MEDICAL GROUP
Active
Other names
Gemini Pawhuska Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE J BURDEN (DIRECTOR OF OPERATIONS)
(918) 331-1090
Entity
Organization
Contact information
Practice address
701 LEAHY, PAWHUSKA, OK 74056
(918) 287-1310
(918) 287-1727
Mailing address
226 SE DEBELL AVE BLDG A, BARTLESVILLE, OK 74006-2343
(918) 287-1310
(918) 287-1727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2973
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745780A
—
OK
Enumeration date
12/06/2006
Last updated
07/19/2011
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