Organization
PHILIP C BRYAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C BRYAN MD (OWNER)
(405) 919-4924
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-4200
(405) 272-4203
Mailing address
1515 TOWER DR, MOORE, OK 73160-6181
(405) 310-0836
(405) 758-5582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509640A
—
OK
Enumeration date
08/30/2013
Last updated
07/28/2025
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