Individual
GREG GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 S TUCKER DR, TULSA, OK 74104-9700
(918) 809-7552
(918) 631-2068
Mailing address
800 S TUCKER DR, TULSA, OK 74104-9700
(918) 809-7552
(918) 631-2068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT152
OK
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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