Basic Information
| Provider Information | |||||||||
| NPI: | 1932187606 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GURLEY | ||||||||
| FirstName: | FIONNUALA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 520 N MONTE VISTA ST | ||||||||
| Address2: | |||||||||
| City: | ADA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 748204674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5803322323 | ||||||||
| FaxNumber: | 5802721660 | ||||||||
| Practice Location | |||||||||
| Address1: | 520 N MONTE VISTA ST | ||||||||
| Address2: | |||||||||
| City: | ADA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 748204674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5803322323 | ||||||||
| FaxNumber: | 5802721660 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2006 | ||||||||
| LastUpdateDate: | 03/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 25972 | OK | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 208M00000X | 25972 | OK | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.