Individual
DR. RYAN LUCAS OTTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
Mailing address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8925
OK
Other
Enumeration date
04/22/2021
Last updated
06/30/2025
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