Individual
BRYCE YOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD, AAT 6300, OKLAHOMA CITY, OK 73104
(405) 271-5963
Mailing address
800 STANTON L YOUNG BLVD, AAT 6300, OKLAHOMA CITY, OK 73104
(405) 271-5963
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33790
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
09/23/2024
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