Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 19038 | OK |
NPI | 1013007525 |
---|---|
Provider Name | Mr. Paul J Gehring |
First Address | Tulsa, OK 74104-5636 |
Second Address | Tulsa, OK 74104-5636 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 20/04/2017 |