Individual
DR. GENTIAN META
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 W 15TH ST, EDMOND, OK 73013-3615
(405) 840-5100
(405) 840-5102
Mailing address
508 W 15TH ST, EDMOND, OK 73013-3615
(405) 840-5100
(405) 840-5102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22294
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
24801
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194770A
—
OK
Enumeration date
05/04/2007
Last updated
08/15/2022
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