Organization
GASTORF FAMILY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GASTORF DO (OWNER)
(580) 931-9135
Entity
Organization
Contact information
Practice address
1004 N 19TH AVE BLDG 2, DURANT, OK 74701-3017
(580) 931-9135
(580) 931-9161
Mailing address
1004 N 19TH AVE BLDG 2, DURANT, OK 74701-3017
(580) 931-9135
(580) 931-9161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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