Individual
DR. JUDITH MARIE GILBRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
(580) 252-1918
(580) 252-2333
Mailing address
2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
(580) 252-1918
(580) 252-2333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170200B
—
OK
01
—
100170200C
SOONERCARE PROVIDER NUMBE
OK
01
—
232803801
MEDICARE PROVIDER NUMBER
OK
01
—
OK700276
MEDICARE INDIVIDUAL PTAN
OK
Enumeration date
03/03/2006
Last updated
05/11/2023
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