Individual
MR. RYAN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-S
Contact information
Practice address
5030 N MAY AVE, OKLAHOMA CITY, OK 73112-6010
(405) 951-2815
(405) 951-2495
Mailing address
PO BOX 840848, DALLAS, TX 75284-0848
(972) 283-1999
(972) 233-2666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
34
OK
Other
Enumeration date
08/06/2020
Last updated
05/06/2021
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