Individual
GAYLE DERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6711 S YALE AVE, STE 202, TULSA, OK 74136-3313
(918) 359-5942
(918) 359-5941
Mailing address
6717 S YALE AVE, STE 210, TULSA, OK 74136-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15794
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157510B
—
OK
Enumeration date
03/24/2006
Last updated
10/27/2014
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