| Gabriel M Pitman Do | |
|
401 Sw 80th St Suite 201 Oklahoma City OK 73109-0000 | |
| (405) 632-9090 | |
| (405) 632-9097 |
| Full Name | Gabriel M Pitman Do |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 401 Sw 80th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Gabriel M Pitman (OWNER) |
| Authorized Official Contact | 4056329090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel M Pitman Do 401 Sw 80th Street Suite 201 Oklahoma City OK 73139-0000 Ph: (405) 632-9090 | Gabriel M Pitman Do 401 Sw 80th St Suite 201 Oklahoma City OK 73109-0000 Ph: (405) 632-9090 |
| NPI Number | 1003193061 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003193061 | NPI | - | NPPES |
| P000722130 | Other | OK | RAILROAD MEDICARE THRU NSO |
| 200011220A | Medicaid | OK | |
| 200011220B | Medicaid | OK | |
| P00066226 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4018 (Oklahoma) | Primary |
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