Individual
BRYCE RAY MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 S HARVARD AVE STE 135, TULSA, OK 74135-2916
(918) 745-9662
(918) 745-9663
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3181
OK
Other
Enumeration date
03/31/2022
Last updated
07/26/2022
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