Provider Demographics
NPI:1053316125
Name:BOND, GARY DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DEAN
Last Name:BOND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:STE 550
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4489
Mailing Address - Country:US
Mailing Address - Phone:405-942-5442
Mailing Address - Fax:405-942-6448
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:STE 550
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4489
Practice Address - Country:US
Practice Address - Phone:405-942-5442
Practice Address - Fax:405-942-6448
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK16974207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE28935Medicare UPIN