IndividualActive
Baolong DO
NPI 1891338059 · Family Nurse Practitioner · Guymon, OK
Provider details
- NPI number
- 1891338059
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 53-79076-102 (KS)
Practice location
123 Medical Dr
Guymon, OK 73942-3606
Phone: (580) 338-3361
Fax: (580) 338-1021
Mailing address
Po Box 1340
Liberal, KS 67905-1340
Registry dates
- Enumerated
- 2019-10-21
- Last updated
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.