Individual
ROY LOUIS FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
(405) 236-0773
Mailing address
3805 RIDGEWOOD DR, EDMOND, OK 73013-8034
(405) 359-0525
(404) 359-9621
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
44
OK
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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