Individual
GANNON FREDERICK GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6475 S YALE AVE STE 200, TULSA, OK 74136-7816
(918) 494-4460
(918) 502-3468
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(882) 470-1258
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1950
OK
Other
Enumeration date
01/17/2011
Last updated
10/03/2023
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