Organization
AFFORDABLE WEIGHT LOSS AND PAIN MANAGEMENT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT GORDON GREGORY MD (OWNER)
(580) 224-2669
Entity
Organization
Contact information
Practice address
810 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 224-2669
(580) 319-5294
Mailing address
810 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 224-2669
(580) 319-5294
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
13611
OK
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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