Organization
CONFORTAMINI IN SACRIFICIO TUO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN REYNOLDS DO (FOUNDER AND CEO)
(713) 816-2522
Entity
Organization
Contact information
Practice address
2416 W 51ST ST, TULSA, OK 74107-7700
(713) 816-2522
Mailing address
PO BOX 701743, TULSA, OK 74170-1743
(713) 816-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
08/13/2024
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