Individual
DR. GABRIEL VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5911 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2015
(405) 773-6530
Mailing address
6006 NW 120TH CT, OKLAHOMA CITY, OK 73162-1729
(405) 607-4520
(405) 896-9870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31625
OK
2085R0001X
Radiation Oncology Physician
Primary
31625
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
11/14/2024
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