Individual
BRYAN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 202-6844
Mailing address
2920 SW 137TH ST, OKLAHOMA CITY, OK 73170-5102
(405) 202-6844
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30004
OK
Other
Enumeration date
04/23/2013
Last updated
12/29/2022
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