Individual
DR. GREGORY B VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4200 W MEMORIAL RD STE 410, OKLAHOMA CITY, OK 73120-8305
(405) 608-4767
(405) 607-2976
Mailing address
7800 NW 85TH TER STE 200, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600063404
RAILROAD MEDIARE
OK
05
—
100131230A
—
OK
Enumeration date
10/05/2005
Last updated
06/06/2022
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