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NPI Code Detail

MEDICARE: NOLAN GAGE BAUGHMAN

MEDICARE: NOLAN GAGE BAUGHMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1851259923
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOLAN GAGE BAUGHMAN
Provider Business Mailing Address
First Line : PO BOX 132
Second Line :
City : TALIHINA
State : OK
Zip : 74571-0132
Country : US
Telephone Number : 918-471-0858
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 918-582-1972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ NOLAN GAGE BAUGHMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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