Individual
DR. RYAN W SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 ISABEL ST, ARDMORE, OK 73401-5118
(580) 223-5432
(580) 223-6076
Mailing address
800 ISABEL ST, ARDMORE, OK 73401-5118
(580) 223-5432
(580) 223-6076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4352
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109030A
—
OK
01
—
4352
STATE MEDICAL LICENSE
OK
Enumeration date
02/28/2006
Last updated
05/10/2023
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