Organization
MINOR W GORDON PH D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINOR WILLIAM GORDON PH D (PRESIDENT)
(918) 747-5308
Entity
Organization
Contact information
Practice address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 747-5308
Mailing address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 747-5308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
309
OK
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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