Individual
BRYAN RICHARD WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3319 E 46TH ST, TULSA, OK 74135
(918) 743-5438
(918) 743-0664
Mailing address
3319 E 46TH ST, TULSA, OK 74135
(918) 743-5438
(918) 743-0664
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
18447
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0BNDD15298
BUREAU OF NARCOTICS
OK
Enumeration date
07/03/2006
Last updated
03/07/2023
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