Boyles, Gerald D

Boyles, Gerald D is an individual health care provider with primary practice located at 10109 E 79Th St , Tulsa OK 74133-4564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boyles, Gerald D can be contacted via phone (918) 286-5131.

Contact Information

Primary practice address
10109 E 79Th St Tulsa OK 74133-4564
Phone: (918) 286-5131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19392 Oklahoma

Profile Details

NPI number 1386633683
LBN Legal business name Boyles, Gerald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 29th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386633683 NPPES
Oklahoma MEDICAID 100082130A

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