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Johnson C Gourd JR., MD
Family Medicine Physician in Tulsa, Oklahoma
NPI 1043264732

Johnson C Gourd JR. is a Family Medicine Physician based in Tulsa, OK. Johnson C Gourd JR. practices in Tulsa, OK and has the professional credentials of MD. The NPI Number for Johnson C Gourd JR. is 1043264732 and holds a License No. 23087 (Oklahoma).

The current practice location address for Johnson C Gourd JR. is 9912 E 21St St, Tulsa, OK and can be reached out via phone at 918-622-0641 and via fax at 918-622-0683.

Location: 9912 E 21St St, Tulsa, OK, 74129-1620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043264732
Provider Name
Johnson C Gourd JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9912 E 21St St, Tulsa, OK, 74129-1620
Phone Number
918-622-0641
Fax Number
918-622-0683
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200020000A 05 OK
institution
Provider Business Practice Location Address Details
Address
9912 E 21St St
City
Tulsa
State
Oklahoma
Zip
74129-1620
Phone Number
918-622-0641
Fax Number
918-622-0683
person
Provider Business Mailing Address Details
Address
9912 E 21St St
City
Tulsa
State
Oklahoma
Zip
74129-1620
Phone Number
918-622-0641
Fax Number
918-622-0683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23087 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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