Individual
TYLER TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8609
Mailing address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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