Organization
DIANNE B GASBARRA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE GASBARRA MD (MANAGING PARTNER)
(405) 749-0210
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD, SUITE 405, OKLAHOMA CITY, OK 73120-9350
(405) 749-0210
(405) 749-8311
Mailing address
4200 W MEMORIAL RD, SUITE 405, OKLAHOMA CITY, OK 73120-9350
(405) 749-0210
(405) 749-8311
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
13952
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020190A
—
OK
Enumeration date
05/23/2007
Last updated
03/02/2011
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