Individual
RYAN WALTER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-1000
Mailing address
1430 N VINITA AVE, TAHLEQUAH, OK 74464-6434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8056
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2021
Last updated
05/08/2024
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