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Individual

DR. RYAN RIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1851 S KELLY AVE STE A, EDMOND, OK 73013-3929
(405) 607-6699
(405) 607-6685
Mailing address
PO BOX 410108, KANSAS CITY, MO 64141-0108
(405) 607-6699
(405) 607-6685

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036135701
IL
207W00000X
Ophthalmology Physician
31674
OK
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
31674
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6308830
VA
Enumeration date
05/11/2006
Last updated
09/22/2025
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