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Andrew C Gin, PLLC

Clinic/Center, Medical Specialty in Oklahoma City, OK. Organization (NPI-2).

NPI number1497909501
StatusActive
Last updated in NPPESOct 26, 2012

Details

NPI
1497909501
Entity type
Organization (NPI-2)
Legal business name
Andrew C Gin, PLLC
Organization subpart
No
Enumeration date
Nov 17, 2008
Last updated
Oct 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty11482OKYes

Practice location

1211 N Shartel Ave
Ste 600
Oklahoma City, OK 73103-2400

Phone 405-682-9955 · Fax 405-682-9979

Mailing address

1211 N Shartel Ave
Ste 600
Oklahoma City, OK 73103-2400

Phone 405-682-9955 · Fax 405-682-9979

Authorized official

Andrew C Gin
Owner
4056829955

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