Individual
MR. ROBERT BRADLEY BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN RNFA
Contact information
Practice address
905 SOUTH MAIN, SHATTUCK, OK 73858
(580) 938-2551
(580) 938-2615
Mailing address
1000 EAST 7TH PO BOX 153, SHATTUCK, OK 73858
(580) 938-5032
(580) 938-2615
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
ROO53415
OK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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