| Doctor Name: | MS. JESTINE A GAHAGAN |
| NPI Number: | 1851380703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | X RAY TECHNICIAN |
| License Number: | 259819 |
| Business Practice Address: | 603 E Pine St Tulsa, OK - 741064849 |
| Business Phone Number: | 9182956137 |
| Business Fax Number: | 9185820529 |
| Mailing Address: | 603 E Pine St, TULSA |
| State: | OK |
| Postal Code: | 741064849 |
| Phone Number: | 9182956137 |
| Fax Number: | 9185820529 |
| NPI Enumeration Date: | 10/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 259819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |