Individual
ANDREW W GAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6475 S YALE AVE STE 401, TULSA, OK 74136-7818
(918) 502-9555
(918) 502-9559
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25845
NE
207Y00000X
Otolaryngology Physician
Primary
32874
OK
207Y00000X
Otolaryngology Physician
37162
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025795400
—
NE
05
—
1295868917
—
IA
05
—
200704870A
—
OK
Enumeration date
03/13/2007
Last updated
10/12/2021
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