Individual
MR. KEITH DAVID DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 683-3261
Mailing address
198 N 3 MILE RD, FORT GIBSON, OK 74434-7727
(918) 478-3850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11242
OK
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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