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Individual

DR. TERRY MICHAEL GILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3840 S 103RD EAST AVE STE 100, TULSA, OK 74146-2445
(918) 921-9700
(918) 292-8263
Mailing address
3840 S 103RD EAST AVE STE 100, TULSA, OK 74146-2445
(918) 921-9700
(918) 292-8263

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2276
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2276
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100106360A
OK
Enumeration date
08/09/2006
Last updated
11/16/2021
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