Individual
DR. EARL GENE GARRISON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7065
(918) 567-7090
Mailing address
HC 60 BOX 135, CLAYTON, OK 74536-9717
(918) 569-4449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2169
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293913
—
OK
Enumeration date
02/03/2006
Last updated
07/08/2007
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