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Contact Information

GREGORY Y JIA MD INC PC
908 19TH ST
SUITE 300
WOODWARD, OK73801-2307
 Phone: 580-256-7377
 Fax: 580-256-7767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GREGORY Y JIA MD INC PC · (Female)

NPI Number 1851431506
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2007
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 19082
  • OK Medicaid 100138540A
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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