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NPI Code Detail

MEDICARE: DR. GARY DEAN BOND MD

MEDICARE: DR. GARY DEAN BOND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician16974OK

General Provider Information

NPI Number : 1053316125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY DEAN BOND MD
Provider Business Mailing Address
First Line : 3366 NW EXPRESSWAY
Second Line : STE 550
City : OKLAHOMA CITY
State : OK
Zip : 73112-4489
Country : US
Telephone Number : 405-942-5442
Fax Number : 405-942-6448
Provider Business Practice Location Address
First Line : 3366 NW EXPRESSWAY
Second Line : STE 550
City : OKLAHOMA CITY
State : OK
Zip : 73112-4489
Country : US
Telephone Number : 405-942-5442
Fax Number : 405-942-6448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GARY DEAN BOND MD” Practice Location

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