Organization
GARY C HILL MD INC
Active
Other names
GARY C HILL MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY C HILL MD (OWNER)
(405) 359-9669
Entity
Organization
Contact information
Practice address
200 N BRYANT AVE STE 100, EDMOND, OK 73034-6273
(405) 359-9669
Mailing address
200 N BRYANT AVE STE 100, EDMOND, OK 73034-6273
(405) 359-9669
(405) 359-6546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11505
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123190A*21
—
OK
01
—
1467557991
MEDICARE GROUP NPI
OK
01
—
1568428696
MEDICARE INDIVIDUAL NPI
OK
01
—
OKA103534
MEDICARE GROUP PTAN
OK
01
—
OKA103535
MEDICARE INDIVIDUAL PTAN
OK
Enumeration date
09/13/2006
Last updated
04/15/2019
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