Individual
GARY RAYMOND DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5310 E 31ST ST FL 11 STE 1102, TULSA, OK 74135-5018
(918) 561-1700
(918) 561-1701
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
2858
OK
207X00000X
Orthopaedic Surgery Physician
2858
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136930D
—
OK
01
—
798213
MEDICARE
OK
Enumeration date
07/07/2006
Last updated
03/29/2022
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