Individual
RYAN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 SW 80TH ST, BLDG D, STE. 200, OKLAHOMA CITY, OK 73139-8123
(405) 619-4470
(405) 900-5363
Mailing address
2420 NW 43RD CIR, OKLAHOMA CITY, OK 73112-8722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30777
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
30777
OK
Other
Enumeration date
04/17/2013
Last updated
05/03/2023
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