Individual
DR. GARY E HRNICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 MOW WAY ROAD, LAWTON-FORT SILL, OK 73503
(580) 458-2243
Mailing address
1200 HAWTHORNE AVE, CASPER, WY 82604
(307) 235-4066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002026162
MO
207R00000X
Internal Medicine Physician
Primary
5144A
WY
207R00000X
Internal Medicine Physician
M-9139
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002026162
MED. LIC
MO
01
—
5144A
MED. LIC
WY
01
—
M-9139
MED LIC. M-9139
ID
Enumeration date
10/03/2006
Last updated
09/18/2008
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