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Individual

DR. RYAN DANIEL GHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6371 N WILDWOOD LN, OWASSO, OK 74055-7566
(918) 269-4011
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
390200000X
OK

Other

Enumeration date
05/01/2010
Last updated
06/06/2023
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