Griffin, Gary E

Griffin, Gary E is an individual health care provider with primary practice located at 1212 S Douglas Blvd Suite B, Oklahoma City OK 73130-5259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Gary E can be contacted via phone (405) 736-6811.

Contact Information

Primary practice address
1212 S Douglas Blvd Suite B Oklahoma City OK 73130-5259
Fax: (405) 736-6863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E1832 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3822 Oklahoma

Profile Details

NPI number 1932195849
LBN Legal business name Griffin, Gary E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 20th, 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 1932195849 NPPES
Arkansas MEDICAID 134702003
Arkansas MEDICAID 100091670A

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