Individual
GERALD THOMAS MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 SW 52ND ST, OKLAHOMA CITY, OK 73119-5462
(405) 686-0970
Mailing address
2900 SW 52ND ST, OKLAHOMA CITY, OK 73119-5462
(405) 686-0970
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17500000X
OK
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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