Individual
MR. RYAN JAY WHITEHORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 HILLSIDE DR, ENID, OK 73701-7758
(405) 310-9110
Mailing address
1106 HILLSIDE DR, ENID, OK 73701-7758
(405) 310-9110
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
01/18/2017
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