Organization
E BRADLEY GARBER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE BRADLEY GARBER M.D. (P.C.)
(918) 745-2117
Entity
Organization
Contact information
Practice address
1784 S UTICA AVE, TULSA, OK 74104-5336
(918) 745-2117
(918) 745-2178
Mailing address
1784 S UTICA AVE, TULSA, OK 74104-5336
(918) 745-2117
(918) 745-2178
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15059
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084420A
—
OK
Enumeration date
07/06/2011
Last updated
07/06/2011
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