Individual
TONY SIMON GERMANS GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
731 12TH AVE NW STE 301, ARDMORE, OK 73401-5765
(580) 220-6650
(580) 220-6651
Mailing address
731 12TH AVE NW STE 301, ARDMORE, OK 73401-5765
(580) 220-6650
(580) 220-6651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44318
OK
208000000X
Pediatrics Physician
A155073
CA
Other
Enumeration date
08/11/2015
Last updated
11/01/2024
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