Provider Demographics
NPI:1609915834
Name:GEE, BOBBY F (DPH)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:F
Last Name:GEE
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-2123
Mailing Address - Country:US
Mailing Address - Phone:405-527-7405
Mailing Address - Fax:405-527-5399
Practice Address - Street 1:1300 N GREEN AVE
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-1811
Practice Address - Country:US
Practice Address - Phone:405-527-2107
Practice Address - Fax:405-527-5399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100234160CMedicaid
OK100234160AMedicaid
OK100234160CMedicaid