Organization
DAVID W. BUNTLEY, M. D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. BUNTLEY M.D. (PHYSICIAN)
(580) 252-2810
Entity
Organization
Contact information
Practice address
2601 W ELK AVE, DUNCAN, OK 73533-1572
(580) 252-2810
(580) 252-3031
Mailing address
2601 W ELK AVE, DUNCAN, OK 73533-1572
(580) 252-2810
(580) 252-3031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9887
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094430B
—
OK
Enumeration date
10/23/2006
Last updated
12/10/2009
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