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NPI Code Detail

MEDICARE: ALFRED GENDY M.D.

MEDICARE: ALFRED GENDY M.D.
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 Physician26972OK

General Provider Information

NPI Number : 1700062346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFRED GENDY M.D.
Provider Business Mailing Address
First Line : 10022 S 78TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74133-7012
Country : US
Telephone Number : 918-899-7738
Fax Number :
Provider Business Practice Location Address
First Line : 4502 E 41ST ST
Second Line : SUITE NUMBER 2D31
City : TULSA
State : OK
Zip : 74135-2536
Country : US
Telephone Number : 918-660-8363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 07/06/2011

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Directions to “ ALFRED GENDY M.D.” Practice Location

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