Individual
DR. GREGORY SCOTT HUENERGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
102 W. JANE JAYROE, LAVERNE, OK 73848-1250
(580) 921-3373
(580) 921-5469
Mailing address
102 W. JANE JAYROE, LAVERNE, OK 73848-1250
(580) 921-3373
(580) 921-5469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11624
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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