Individual
SEAN DAVID BUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15949 US HIGHWAY 271, SPIRO, OK 74959-5276
(918) 951-2362
Mailing address
15949 US HIGHWAY 271, SPIRO, OK 74959-5276
(918) 951-2362
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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