Organization
JOSHUARGOREMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA R GORE MD (OWNER)
(405) 775-9350
Entity
Organization
Contact information
Practice address
1000 N LINCOLN BLVD, SUITE 150, OKLAHOMA CITY, OK 73104-3252
(405) 271-3363
Mailing address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
06/25/2015
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