Individual
RYAN WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH STREET, SUITE 900, OKLAHOMA CITY, OK 73112-4452
(405) 713-9935
(405) 713-9936
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-9935
(405) 713-9936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27805
OK
Other
Enumeration date
06/15/2010
Last updated
07/20/2017
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