Provider Demographics
NPI:1245208438
Name:GUILD, RALPH T III (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:T
Last Name:GUILD
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:920 SL YOUNG BLVD
Mailing Address - Street 2:WP 1345
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5033
Mailing Address - Country:US
Mailing Address - Phone:405-271-5428
Mailing Address - Fax:405-271-5803
Practice Address - Street 1:825 NE 10TH ST
Practice Address - Street 2:OUPB 2300
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-5428
Practice Address - Fax:405-271-5803
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-09-15
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Provider Licenses
StateLicense IDTaxonomies
OK10690207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD34736Medicare UPIN
24R601836Medicare PIN