Individual
OWEN GEBERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5864 E 146TH ST S, BIXBY, OK 74008-8071
(539) 664-0313
Mailing address
5864 E 146TH ST S, BIXBY, OK 74008-8071
(539) 664-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0127702
OK
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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