Vanzant, Gregory B

Vanzant, Gregory B is an individual health care provider with primary practice located at 4200 W Memorial Rd Ste 410 , Oklahoma City OK 73120-8305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vanzant, Gregory B can be contacted via phone (405) 608-4767.

Contact Information

Primary practice address
4200 W Memorial Rd Ste 410 Oklahoma City OK 73120-8305
Fax: (405) 607-2976
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3703 Oklahoma

Profile Details

NPI number 1932196839
LBN Legal business name Vanzant, Gregory B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 6th, 2022 - about 4 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 1932196839 NPPES
Oklahoma MEDICAID 100131230A
Oklahoma Other 0600063404

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