Individual
DR. BILLY JOE BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
816 W CEDAR ST, STILWELL, OK 74960-3453
(918) 696-6717
(918) 696-6717
Mailing address
816 W CEDAR ST, STILWELL, OK 74960-3453
(918) 696-6717
(918) 696-6717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766100A
—
OK
01
—
540012215
RAILROAD RETIREMENT BOARD
OK
Enumeration date
10/19/2006
Last updated
04/07/2009
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