Individual
MR. BRYCE OWEN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6465 S YALE AVE STE 910, TULSA, OK 74136
(918) 502-3200
(918) 502-3205
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2527
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840694
—
AZ
Enumeration date
08/21/2013
Last updated
10/18/2018
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