Healthcare Provider Details

I. General information

NPI: 1609717800
Provider Name (Legal Business Name): GABRIELLA SARAH SMALLIGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLA SARAH LAMANTEER

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST # 3C
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

800 STANTON L YOUNG BLVD # 2400
OKLAHOMA CITY OK
73104-5018
US

V. Phone/Fax

Practice location:
  • Phone: 572-244-5239
  • Fax:
Mailing address:
  • Phone: 405-271-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: