Basic Information
| Provider Information | |||||||||
| NPI: | 1770702177 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MACKAY | ||||||||
| FirstName: | GILLIAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 920 STANTON L YOUNG BLVD | ||||||||
| Address2: | WP 2430 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731045036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052717449 | ||||||||
| FaxNumber: | 4052718547 | ||||||||
| Practice Location | |||||||||
| Address1: | 920 STANTON L YOUNG BLVD | ||||||||
| Address2: | WP 2430 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731045036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052717449 | ||||||||
| FaxNumber: | 4052718547 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 10/01/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | A113346 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 29794 | OK | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.