Individual
DR. BRIAN RIBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 E 19TH ST, SUITE 400, TULSA, OK 74104-5425
(918) 748-7644
(918) 293-3184
Mailing address
1802 E 19TH ST, SUITE 400, TULSA, OK 74104-5425
(918) 748-7644
(918) 293-3184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11245
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4055280
AETNA
OK
01
—
721545605-001
BCBS
OK
Enumeration date
09/13/2005
Last updated
10/19/2007
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