Individual
MR. JOHNNIE LEE GILPEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7997 ALFADALE ST, UNION CITY, OK 73090-6615
(405) 919-9511
Mailing address
7997 ALFADALE ST, UNION CITY, OK 73090-6615
(405) 919-9511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3116
OK
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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