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Individual

FRANK J GAFFNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD, SUITE 200, TULSA, OK 74133-5718
(918) 592-0999
(918) 878-2499

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
23819
OK
207RC0000X
Cardiovascular Disease Physician
Primary
23819
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200030780A
OK
01
OK400772
MEDICARE PTAN
OK
01
P00138695
MEDICARE RAILROAD
OK
01
P00613409
MEDICARE RAILROAD
OK
Enumeration date
01/25/2006
Last updated
02/24/2014
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