Individual
DR. GARY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N BRYANT AVE # 100, EDMOND, OK 73034-6273
(405) 359-9669
(405) 359-6546
Mailing address
200 N BRYANT AVE # 100, EDMOND, OK 73034-6273
(405) 359-9669
(405) 359-6546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11505
OK
208200000X
Plastic Surgery Physician
11505
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123190A21
—
OK
Enumeration date
04/26/2006
Last updated
06/11/2019
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