Individual
DR. RYAN LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9800 BROADWAY EXT STE 203, OKLAHOMA CITY, OK 73114-6304
(405) 330-8847
(405) 330-8849
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8447
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4672
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
NA
—
Enumeration date
07/16/2008
Last updated
04/21/2020
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