Provider Demographics
NPI:1255321063
Name:DUNHAM, RORY CHRISTOPHER (DO)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:CHRISTOPHER
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9060 HARMONY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6218
Mailing Address - Country:US
Mailing Address - Phone:405-759-2562
Mailing Address - Fax:405-703-4870
Practice Address - Street 1:9060 HARMONY DR
Practice Address - Street 2:SUITE B
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6218
Practice Address - Country:US
Practice Address - Phone:405-759-2562
Practice Address - Fax:405-703-4870
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK03659207X00000X
MO2003020127207X00000X
AZ5350207X00000X
NMA-1339-05207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH93306Medicare UPIN