Organization
G BOLAR GARRISON MD INC
Active
Organization
G BOLAR GARRISON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G BOLAR GARRISON MD (PRES)
(405) 842-3402
Entity
Organization
Contact information
Practice address
3617 NW 65 ST, OKLA CITY, OK 73116-2005
(405) 842-3402
(405) 879-9879
Mailing address
3617 NW 65 ST, OKLA CITY, OK 73116-2005
(405) 842-3402
(405) 879-9879
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7000
OK
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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