Individual
DR. CHARLES WENDELL GURLEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1433 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-5606
(580) 332-3946
Mailing address
1433 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-5606
(580) 332-3946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764370A
—
OK
Enumeration date
08/09/2006
Last updated
03/07/2019
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