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1366750069
BRIAN GADDIS
ADA, OK
NPI
1366750069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK 5037)
Enumeration Date
2010-09-16
Last Update Date
2017-08-31
Business Address
Dr. BRIAN GADDIS D.O.
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-436-3980
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Mailing Address
Dr. BRIAN GADDIS D.O.
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-436-3980
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