Individual
GARY WAYNE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 S MADISON ST STE 108, ENID, OK 73701-7270
(580) 977-1901
(580) 249-4350
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(580) 977-1901
(580) 249-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4891
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401470B
—
OK
Enumeration date
09/28/2010
Last updated
04/02/2018
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