Individual
RYAN J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2416 W 51ST ST, TULSA, OK 74107-7700
(713) 816-2522
Mailing address
PO BOX 701743, TULSA, OK 74170-1743
(713) 816-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7541
OK
208M00000X
Hospitalist Physician
7541
OK
Other
Enumeration date
03/29/2017
Last updated
05/22/2024
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