Individual
DR. GORDON P LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
534 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-3602
(918) 762-2952
Mailing address
534 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-3602
(918) 762-2952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1532
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1532
OK
208600000X
Surgery Physician
1532
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128350I
—
OK
Enumeration date
12/28/2005
Last updated
09/26/2024
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