Individual
DR. OMER RAYMOND NUNLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 N FAIRLAND ST, PRYOR, OK 74361-4231
(918) 825-1957
(918) 825-6930
Mailing address
133 N FAIRLAND ST, PRYOR, OK 74361-4231
(918) 825-1957
(918) 825-6930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9809
OK
208600000X
Surgery Physician
9809
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117040B
—
OK
Enumeration date
07/25/2006
Last updated
08/21/2014
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