Dubois, Gary Dean

Dubois, Gary Dean is an individual health care provider with primary practice located at 1117 S Douglas Blvd Ste D, Midwest City OK 73130-5262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Dubois, Gary Dean can be contacted via phone (405) 741-8686.

Contact Information

Primary practice address
1117 S Douglas Blvd Ste D Midwest City OK 73130-5262
Fax: (405) 733-9621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12879 Oklahoma
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12879 Oklahoma

Profile Details

NPI number 1831182039
LBN Legal business name Dubois, Gary Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 20th, 2008 - about 17 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 1831182039 NPPES
Oklahoma MEDICAID 100117310A

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