Individual
JAY M. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. N.
Contact information
Practice address
6666 S SHERIDAN RD, TULSA, OK 74133-1756
(918) 493-2727
(918) 493-2990
Mailing address
2809 E OAKRIDGE ST, BROKEN ARROW, OK 74014-5008
(918) 258-8571
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
R0070280
OK
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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