Individual
DR. RYAN PATRICK MAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1005 ARLINGTON ST, ADA, OK 74820-4036
(580) 272-0283
Mailing address
309 POTOMAC DR, NORMAN, OK 73072-4536
(405) 808-7972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-18469
OK
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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