Individual
CHAD RYAN MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1809 E 13TH ST, SUITE 100, TULSA, OK 74104-4419
(918) 582-6800
(918) 582-6060
Mailing address
1809 E 13TH ST, SUITE 100, TULSA, OK 74104-4419
(918) 582-6800
(918) 582-6060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2004
OK
Other
Enumeration date
01/18/2011
Last updated
03/12/2014
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