GARY DORMAN

Optometrist

Active Individual
NPI: 1467444315

Practice Address

400 FAIRVIEW AVE
SUITE 21
Ponca City, OK 74601

Phone: (580) 765-3356

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 1043 (OK)

Frequently Asked Questions

NPI 1467444315 is the National Provider Identifier for GARY DORMAN, a Optometrist provider located in Ponca City, OK. This NPI was enumerated on August 17, 2005.
GARY DORMAN practices at 400 FAIRVIEW AVE, SUITE 21, Ponca City, OK 74601.

Quick Facts

NPI
1467444315
Type
Individual
Enumerated
Aug 17, 2005
Last Updated
May 1, 2009

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