Individual
LARRY GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
131550
OK
Other
Enumeration date
01/14/2020
Last updated
10/11/2024
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