Individual
DR. RYAN TYLER GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
14239 TERESA DR, JONES, OK 73049-6121
(405) 640-4877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7066
OK
Other
Enumeration date
04/30/2019
Last updated
01/26/2022
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