Individual
MRS. NICHOLE JANINE BUYNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
700 W. IRONWOOD DRIVE, SUITE 155, COEUR D ALENE, ID 83814-4462
(208) 667-0585
(208) 625-2075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
O1623
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2019
Last updated
09/08/2022
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