Individual
JUSTIN ANTHONY GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 WEST MEMORIAL ROAD, STE 703, OKLAHOMA CITY, OK 73120-8359
(405) 755-1080
Mailing address
940 STANTON L YOUNG BLVD, BMSB 357, OKLAHOMA CITY, OK 73104-5020
(405) 271-2265
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25778
OK
Other
Enumeration date
06/21/2007
Last updated
06/08/2011
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