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Individual

GREGORY SCOTT ISCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
9650 N MAY AVE, OKLAHOMA CITY, OK 73120-2714
(405) 752-1913
Mailing address
10635 N MAY AVE, OKLAHOMA CITY, OK 73120-2612
(405) 752-1913

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/07/2006
Last updated
01/16/2017
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