NPI Code Details Logo

NPI 1003193061

NPI 1003193061 : GABRIEL M PITMAN DO : OKLAHOMA CITY, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003193061
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GABRIEL M PITMAN DO 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/04/2011
-----------------------------------------------------
    Last Update Date     |    07/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    401 SW 80TH ST SUITE 201
-----------------------------------------------------
    City                 |    OKLAHOMA CITY
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73109-0000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-632-9090
-----------------------------------------------------
    Fax                  |    405-632-9097
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    401 SW 80TH STREET SUITE 201
-----------------------------------------------------
    City                 |    OKLAHOMA CITY
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73139-0000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-632-9090
-----------------------------------------------------
    Fax                  |    405-632-9097
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OFFICE MANAGER
-----------------------------------------------------
    Name                 |     KANDICE  GRIFFITH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    405-632-9090
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    4018
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.