Individual
MR. ROGER LYNN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S MAIN ST, EUFAULA, OK 74432-3251
(918) 469-2506
Mailing address
401 S MAIN ST, EUFAULA, OK 74432-3251
(918) 469-2506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11331
OK
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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