Individual
DR. JAIME E GUMBS-SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6638
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PR5168
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9105168
—
OK
Enumeration date
02/02/2007
Last updated
07/08/2007
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