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Contact Information

GEMINI MEDICAL GROUP
701 LEAHY
PAWHUSKA, OK74056
 Phone: 918-287-1310
 Fax: 918-287-1727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GEMINI MEDICAL GROUP · (Female)

NPI Number 1265591416
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2006
Last updated 07/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 2973
  • OK Medicaid 100745780A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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