Individual
DR. BRYAN ANDREW VANDOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 E 81ST ST, TULSA, OK 74137-2125
(918) 401-1002
(918) 493-3304
Mailing address
6130 E 81ST ST, TULSA, OK 74137-2125
(918) 401-1002
(918) 493-3304
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
17313
OK
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
17313
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229400A
—
OK
Enumeration date
06/03/2006
Last updated
11/18/2025
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