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Individual

STEPHEN JOHN GAWEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1819 E 19TH ST, SUITE 302, TULSA, OK 74104-5414
(918) 742-0552
(918) 747-3177
Mailing address
PO BOX 21052, LOCKBOX 22410, TULSA, OK 74121-1052
(918) 742-0552
(918) 747-3177

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12708
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100095100A
OK
Enumeration date
07/27/2006
Last updated
09/23/2014
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