Individual
DR. BRYAN LEE VAN ZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4625 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3831
(405) 632-2323
(405) 631-9315
Mailing address
4005 24TH ST, LUBBOCK, TX 79410-1815
(806) 792-2767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30458
OK
2085R0202X
Diagnostic Radiology Physician
N2860
TX
Other
Enumeration date
04/15/2010
Last updated
12/03/2024
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