Individual
MR. CHAELLY SCOTT BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5441
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0071650
OK
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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