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Individual

DR. PATRICK MICHAEL RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 E. 41ST STREET, UNIVERSITY OF OKLAHOMA, COLLEGE OF COMMUNITY MEDICINE, TULSA, OK 74135
(918) 660-3416
Mailing address
3112 CRESTWOOD LANE, GLENVIEW, IL 60025
(847) 998-5859

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q5554
TX
208000000X
Pediatrics Physician
Primary
Q5554
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Q5554
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/23/2010
Last updated
08/04/2015
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