Provider Demographics
NPI:1003107855
Name:GWARTNEY, DARIN ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:ALAN
Last Name:GWARTNEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1301 NE 1ST ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361-8850
Mailing Address - Country:US
Mailing Address - Phone:918-824-7714
Mailing Address - Fax:918-824-6412
Practice Address - Street 1:1301 NE 1ST ST
Practice Address - Street 2:SUITE 400
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-8850
Practice Address - Country:US
Practice Address - Phone:918-824-7714
Practice Address - Fax:918-824-6412
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2015-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS017248207QS0010X
OK5219207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine