Individual
GUSTIN DON BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5020
(660) 885-5511
Mailing address
1029 TREVINO RD, BMSB 357, CLINTON, MO 64735-9067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25196
OK
Other
Enumeration date
02/05/2007
Last updated
10/06/2020
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