Whalio Doctors

NPI 1437357175

Gavin Vanwey Gardner, DO

Practitioner Emergency Medicine Physician Owasso, OK

Practice location

Address
9303 N 101st East Ave, Owasso, OK 74055-6841
Phone
(918) 557-2658

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4296 (OK)

Registry record

NPI
1437357175
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.