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Individual

DR. RYAN KENNETH NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4221 S WESTERN AVE, #2010, OKLAHOMA CITY, OK 73109-3447
(405) 644-5120
(405) 644-5309
Mailing address
3545 NW 58TH ST, STE 450, OKLAHOMA CITY, OK 73112-4726
(405) 951-4370

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-053038
IL
207RC0000X
Cardiovascular Disease Physician
036.124250
IL
207RC0000X
Cardiovascular Disease Physician
Primary
5508
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5508
OKLAHOMA BOARD OF OSTEOPATHIC EXAMINERS
OK
Enumeration date
08/04/2008
Last updated
07/31/2023
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