Individual
JOEL K GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 S WHEELING AVE, SUITE 304, TULSA, OK 74104-5638
(918) 748-7620
(918) 748-7647
Mailing address
6425 S OSWEGO AVE, TULSA, OK 74136-1512
(918) 496-1789
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
8249
OK
Other
Enumeration date
09/17/2006
Last updated
01/12/2011
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