Individual
DR. RYAN DANE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6703 EAST 81ST STREET, STE E, TULSA, OK 74133-4157
(918) 494-0929
(918) 494-0927
Mailing address
6703 EAST 81ST STREET, STE E, TULSA, OK 74133-4153
(918) 494-0929
(918) 494-0927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3720
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069340A
—
OK
Enumeration date
08/02/2006
Last updated
04/25/2011
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