Raleigh, Gary Dwayne

Raleigh, Gary Dwayne is an individual health care provider with primary practice located at 503 S Aspen , Broken Arrow OK 74012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Raleigh, Gary Dwayne can be contacted via phone (918) 331-9184.

Contact Information

Primary practice address
503 S Aspen Broken Arrow OK 74012
Fax: (918) 331-9187
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 60070 Oklahoma

Profile Details

NPI number 1336333442
LBN Legal business name Raleigh, Gary Dwayne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 3rd, 2010 - about 14 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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