Individual
GREGORY W DINWIDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
Mailing address
3433 NW 56TH ST, STE 760, OKLAHOMA CITY, OK 73112-4455
(405) 951-4345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1037
OK
Other
Enumeration date
06/02/2005
Last updated
07/21/2022
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