Individual
DARRIS P GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(888) 383-7028
Mailing address
PO BOX 207529, DALLAS, TX 75320-7529
(888) 383-7028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0126530
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
211275
OK
Other
Enumeration date
01/03/2023
Last updated
01/11/2023
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