Individual
WALTER L GADBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1400 BRYAN DR STE 307, DURANT, OK 74701-2158
(580) 256-2820
(580) 256-7336
Mailing address
1400 BRYAN DR. SUITE 307, DURANT, OK 74701
(580) 256-2820
(580) 256-7336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19690
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230600A
—
OK
Enumeration date
05/05/2006
Last updated
04/03/2014
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