Individual
THOMAS W. RICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6585 S YALE AVE, SUITE 720, TULSA, OK 74136-8384
(918) 502-5930
(918) 502-5935
Mailing address
6600 S. YALE, SUITE 1400, TULSA, OK 74136
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23733
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019510A
—
OK
Enumeration date
07/19/2005
Last updated
10/03/2012
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