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Individual

DR. WILLIAM R. GILLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7170 S BRADEN AVE, # 175, TULSA, OK 74136-6329
(918) 481-0994
(918) 494-6747
Mailing address
7170 S BRADEN AVE, # 175, TULSA, OK 74136-6329
(918) 481-0994
(918) 494-6747

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
12966
OK

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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