Fairlie, Gregory William

Fairlie, Gregory William is an individual health care provider with primary practice located at 13420 N Pennsylvania Ave , Oklahoma City OK 73120-9007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fairlie, Gregory William can be contacted via phone (405) 478-0633.

Contact Information

Primary practice address
13420 N Pennsylvania Ave Oklahoma City OK 73120-9007
Phone: (405) 478-0633
Fax: (405) 478-5218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3850 Oklahoma

Profile Details

NPI number 1700874914
LBN Legal business name Fairlie, Gregory William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - about 19 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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