Dailey, Gregory Clinton

Dailey, Gregory Clinton is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dailey, Gregory Clinton can be contacted via phone (918) 502-1900.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Fax: (918) 494-1630
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1117 Oklahoma

Profile Details

NPI number 1316908320
LBN Legal business name Dailey, Gregory Clinton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316908320 NPPES
Oklahoma MEDICAID 100184600A

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