Individual
GARY BIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
1018 24TH AVE NW, SUITE110, NORMAN, OK 73069-6543
(405) 310-3344
(405) 310-3340
Mailing address
1018 24TH AVE NW, SUITE110, NORMAN, OK 73069-6543
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
26
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99832
PRIVATE INSURANCE
OK
Enumeration date
04/03/2013
Last updated
04/03/2013
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