Individual
RYAN COOPER BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD AAT 9432, OKLAHOMA CITY, OK 73104
(405) 271-6308
Mailing address
800 STANTON L YOUNG BLVD AAT 9432, OKLAHOMA CITY, OK 73104
(405) 271-6308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38219
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2021
Last updated
06/28/2021
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