Individual
RYAN CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)(ARRT)
Contact information
Practice address
1301 E HIGHWAY 3, APT 250G, GUYMON, OK 73942-5431
(707) 688-3221
Mailing address
1301 E HIGHWAY 3, APT 250G, GUYMON, OK 73942-5431
(707) 688-3221
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
533372
MN
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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