Gary A Dorman

NPI 1023295839 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1023295839
Enumeration Date 01/23/2008
Last Updated 11/04/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (580) 765-3356
Fax (580) 765-3353
Practice Location
400 FAIRVIEW
SUITE 21
PONCA CITY OK, 74601-1922, US
Phone (580) 765-3356
Fax (580) 765-3353
Business Location
400 FAIRVIEW
SUITE 21
PONCA CITY OK, 74601-1922, US
Phone (580) 765-3356
Fax (580) 765-3353
Toxanomy
Taxonomy Code 332H00000X
License State Oklahoma
License Number 1043
Remove 1023295839 NPI Number
 

According to our database, Gary A Dorman NPI is 1023295839, taxonomy code is 332H00000X and license number is 1043, license state is located at Oklahoma. Gary A Dorman physically located at 400 Fairview, Ponca City OK, 74601-1922. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023295839 NPI number is provided on an as is basis without warranty of any kind. 1023295839 is maintained by the National Plan & Provider Enumeration System. The contents of Gary A Dorman are for informational purposes only.