Organization
GERALD LEWIS DICKMAN, D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD LEWIS DICKMAN (PHYSICIAN)
(405) 945-4828
Entity
Organization
Contact information
Practice address
3400 NW EXPRESSWAY, BUILDING C, SUITE 604, OKLAHOMA CITY, OK 73112-4493
(405) 945-4828
(405) 945-4831
Mailing address
3400 NW EXPRESSWAY, BUILDING C, SUITE 604, OKLAHOMA CITY, OK 73112-4493
(405) 945-4828
(405) 945-4831
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1726
OK
Other
Enumeration date
10/15/2007
Last updated
10/17/2007
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