Individual
JOSEPH J GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 952-0999
(918) 592-1021
Mailing address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 952-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
30036
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110010769
RAILROAD MEDICARE
MN
05
—
35294400
—
WI
05
—
480008000
—
MN
05
—
ENROLLED
—
IA
Enumeration date
08/05/2006
Last updated
01/13/2014
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