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Organization

PROGRESSIVE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL G GORTON M.D. (OWNER)
(405) 949-2881
Entity
Organization

Contact information

Practice address
5622 N PORTLAND AVE STE 200, OKLAHOMA CITY, OK 73112-2000
(405) 949-2881
(405) 942-7120
Mailing address
5622 N PORTLAND AVE STE 200, OKLAHOMA CITY, OK 73112-2000
(405) 949-2881
(405) 942-7120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/29/2007
Last updated
08/22/2020
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