Individual
DR. DUSTIN LEE BAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2821 N VAN BUREN, SUITE B, ENID, OK 73701-7273
(580) 977-1834
(580) 977-1806
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 977-1834
(580) 977-1806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24652
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194480A
—
OK
Enumeration date
06/08/2007
Last updated
02/08/2018
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