Individual
COURTNEY RYANE TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 MEDICAL CENTER DR, EDMOND, OK 73034-6357
(405) 330-2362
Mailing address
1600 MEDICAL CENTER DR, EDMOND, OK 73034-6357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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