Individual
DR. NICASIO S GUTIERREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3558
(405) 573-3962
Mailing address
3616 WINDOVER DR, NORMAN, OK 73072-3249
(405) 321-7388
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
14904
OK
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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