Male or Other

Robert D. Gourley MD

Ophthalmology Physician in Edmond, OK(View on Map)

Full Name

Robert D Gourley MD

NPI Number

1093704793

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/17/2005

Specialties

(Taxonomies)

Code

207W00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

10888

Contact
Information

Purpose

Mailing
Location

Address

920 S BRYANT AVE
920 S BRYANT AVE

City

Edmond
Edmond

State

OK
OK

Postal Code

73034-5797
73034-5797

Country

US
US

Telephone Number

(405) 341-4238
(405) 341-4238

Identifiers

Identifier

100212730A

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2009

Provider Address

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