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Individual

JOHN R GEARHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 222-9587
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(405) 224-8111
(405) 222-9587

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14026
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100179020A
OK
01
180016520
RR
OK
01
3060610
CIGNA
01
4254092
AETNA
01
730764194026
BLUE CROSS BLUE SHIELD
OK
Enumeration date
11/21/2005
Last updated
06/24/2016
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