Organization
GILBRETH FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH M GILBRETH M.D. (OWNER/MANAGER)
(580) 252-1918
Entity
Organization
Contact information
Practice address
2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
(580) 252-1918
(580) 252-2333
Mailing address
2434 HARVILLE RD, SUITE 101, DUNCAN, OK 73533
(580) 252-1918
(580) 252-2333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100170200C
MEDICAID/SOONERCARE
OK
01
—
100170200D
MEDICAID/SOONERCARE
OK
01
—
467450776003
BLUE CROSS BLUE SHIELD
OK
Enumeration date
02/21/2008
Last updated
05/11/2023
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