GARY FENNEMA

TULSA, OK
NPI1578003992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OK  6402)
Enumeration Date2017-03-04
Last Update Date2022-12-17
Business Address
GARY FENNEMA D.O.
744 W 9TH ST
TULSA, OK 74127-9020
Phone number: 918-599-1000
Mailing Address
GARY FENNEMA D.O.
2622 W 112TH PL S
JENKS, OK 74037-2127
Phone number: 918-691-4601