Individual
RONALD LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Mailing address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
685
OK
Other
Enumeration date
01/25/2006
Last updated
02/21/2024
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