Individual
BRIAN GLADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8322
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29716
OK
207Q00000X
Family Medicine Physician
Primary
5054123-1205
UT
Other
Enumeration date
09/20/2006
Last updated
03/10/2025
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