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Individual

DR. BRYAN L WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9424 N MAY AVE, OKLAHOMA CITY, OK 73120-2712
(405) 751-8851
(405) 751-5058
Mailing address
9424 N MAY AVE, OKLAHOMA CITY, OK 73120-2712
(405) 751-8851
(405) 751-5058

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2630
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200270660A
OK
Enumeration date
08/06/2009
Last updated
05/16/2014
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