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Individual

VINCEL RAY CORDRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
(405) 419-3042
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
(405) 419-3042

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1753
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100134520E
OK
05
100134520F
OK
Enumeration date
03/09/2006
Last updated
04/10/2019
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