Individual
CHARLES E BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH ST, SUITE 950, OKLAHOMA CITY, OK 73112-4455
(405) 713-9940
(405) 713-9941
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-9940
(405) 713-9941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12307
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129920A
—
OK
Enumeration date
02/23/2006
Last updated
07/21/2017
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