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Individual

CODY RYAN BYNUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
825 NE 10TH ST, OKLAHOMA CITY, OK 73104-5417
(405) 835-8109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218148
OK
163WC0200X
Critical Care Medicine Registered Nurse
218148
OK

Other

Enumeration date
08/20/2024
Last updated
07/17/2025
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