# ON SITE SILVER CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962807412
- **Authorized official:** DR. BRYAN K LEDBETTER D.O., M.B.A (CO-OWNER)
- **Authorized official phone:** (918) 895-7000

## Contact information

- **Practice address:** 11106 S YALE AVE, SUITE 400, TULSA, OK 74137-7620
- **Practice address phone:** (918) 895-7000
- **Practice address fax:** (918) 895-7213
- **Mailing address:** 11106 S YALE AVE, SUITE 400, TULSA, OK 74137-7620
- **Mailing address phone:** (918) 895-7000
- **Mailing address fax:** (918) 895-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4427 | OK | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/27/2014