Individual
REBECCA MICHELLE GUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(918) 470-4728
Mailing address
7129 NW 153RD STREET, EDMOND, OK 73013-9012
(918) 470-4728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6175
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
03/10/2016
Last updated
07/18/2019
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