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NPI Code Detail

MEDICARE: DR. DAVID RICHARD GAHN MD

MEDICARE: DR. DAVID RICHARD GAHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician23211OK

General Provider Information

NPI Number : 1275523839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID RICHARD GAHN MD
Provider Business Mailing Address
First Line : 807 S EAST AVE
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-5156
Country : US
Telephone Number : 918-458-3100
Fax Number : 918-458-3315
Provider Business Practice Location Address
First Line : 100 S BLISS AVE
Second Line : HASTINGS INDIAN MEDICAL CENTER
City : TAHLEQUAH
State : OK
Zip : 74464-2512
Country : US
Telephone Number : 918-458-3360
Fax Number : 918-458-3315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 01/31/2011

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Directions to “ DR. DAVID RICHARD GAHN MD” Practice Location

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