| Gi Of Norman, Llc | |
|
1125 N Porter Ave Ste. 301 Norman OK 73071-6443 | |
| (405) 360-2777 | |
| (405) 360-2780 |
| Full Name | Gi Of Norman, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1125 N Porter Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Caroline M Jeffreys (CONTROLLER) |
| Authorized Official Contact | 4053602777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Of Norman, Llc 1125 N Porter Ave Ste. 301 Norman OK 73071-6443 Ph: (405) 360-2777 | Gi Of Norman, Llc 1125 N Porter Ave Ste. 301 Norman OK 73071-6443 Ph: (405) 360-2777 |
| NPI Number | 1700854106 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700854106 | NPI | - | NPPES |
| 200069740A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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