| Gordon P. Laird, D.o. Inc | |
|
534 Illinois St Pawnee OK 74058-2036 | |
| (918) 762-3602 | |
| (580) 363-0894 |
| Full Name | Gordon P. Laird, D.o. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 534 Illinois St, Pawnee, Oklahoma |
| Authorized Official Name and Position | Gordon P Laird (OWNER) |
| Authorized Official Contact | 5803630052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon P. Laird, D.o. Inc 39451 E 41 Rd Morrison OK 73061-9686 Ph: (580) 363-0052 | Gordon P. Laird, D.o. Inc 534 Illinois St Pawnee OK 74058-2036 Ph: (918) 762-3602 |
| NPI Number | 1083041966 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 04/10/2022 |
| Medicare PECOS PAC ID | 1254564602 |
|---|---|
| Medicare Enrollment ID | O20140509000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083041966 | NPI | - | NPPES |
| 100128350F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | 1532 (Oklahoma) | Secondary |
| Provider Name | Gordon P Laird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954088 PECOS PAC ID: 0749233963 Enrollment ID: I20050301000114 |
Unity Healthcare Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Beck Drive, Pawnee, OK 74058 Phone: 918-762-1073 | |
Pawnee Health & Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Boulder St, Pawnee, OK 74058 Phone: 918-762-3601 Fax: 918-762-2544 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 877-515-8550 | |
W. Edward Clymer, Do Pawnee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 Fax: 918-762-3510 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 918-762-5055 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 |