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Individual

JAY L BRYNGELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 SE DEBELL, BARTLESVILLE, OK 74006
(918) 333-3432
(918) 333-5937
Mailing address
226 SE DEBELL, BLDG A, BARTLESVILLE, OK 74006
(918) 333-3432
(918) 333-5937

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10935
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100123640 A
OK
Enumeration date
12/06/2005
Last updated
06/27/2011
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