| Doctor Name: | MR. ALEXANDER R GENTY |
| NPI Number: | 1720396633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 81255 |
| Business Practice Address: | 405 Midland Ave Pawhuska, OK - 740565875 |
| Business Phone Number: | 8064020123 |
| Business Fax Number: | |
| Mailing Address: | 405 Midland Ave, PAWHUSKA |
| State: | OK |
| Postal Code: | 740565875 |
| Phone Number: | 8064020123 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 81255 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |