Organization
GORDON P LAIRD,DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BOSS (OFFICE MANAGER)
(918) 762-3601
Entity
Organization
Contact information
Practice address
304 BOULDER ST, PAWNEE, OK 74058-4028
(918) 762-3601
(918) 762-2544
Mailing address
304 BOULDER ST, PAWNEE, OK 74058-4028
(918) 762-3601
(918) 762-2544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1532
OK
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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