Individual
DR. CARL J GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4509 INTEGRIS PKWY, EDMOND, OK 73034-8696
(405) 657-3195
(405) 657-3193
Mailing address
4509 INTEGRIS PKWY, EDMOND, OK 73034-8696
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E4658
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159057001
—
AR
01
—
5N462
BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
04/07/2006
Last updated
04/24/2023
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