Individual
MR. JUSTIN DANIEL GENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2515 W ELK AVE, DUNCAN, OK 73533-1571
(580) 470-2916
(580) 470-2966
Mailing address
2515 W ELK AVE, DUNCAN, OK 73533-1571
(580) 470-2916
(580) 470-2966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1867
OK
Other
Enumeration date
12/23/2009
Last updated
04/24/2010
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