Individual
PHILIP LOYD RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 561-1140
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
7657
OK
Other
Enumeration date
04/06/2021
Last updated
07/02/2024
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