Gloria M. Baese, D.c. P.c. | |
6913 S Canton Ave, Suite 300, Tulsa, OK 74136-3432 | |
(918) 664-5588 | |
Not Available |
Full Name | Gloria M. Baese, D.c. P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 6913 S Canton Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831306786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2461 (Oklahoma) | Primary |
Provider Name | Gloria M Baese |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548205933 PECOS PAC ID: 3870754153 Enrollment ID: I20120412000702 |
Mailing Address | Practice Location Address |
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Gloria M. Baese, D.c. P.c. 6913 S Canton Ave, Suite 300, Tulsa, OK 74136-3432 Ph: (918) 664-5588 | Gloria M. Baese, D.c. P.c. 6913 S Canton Ave, Suite 300, Tulsa, OK 74136-3432 Ph: (918) 664-5588 |
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