Individual
DR. RYAN LEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 KIOWA, SUITE A, ARDMORE, OK 73401
(580) 223-8585
Mailing address
1201 KIOWA, SUITE A, ARDMORE, OK 73401
(580) 223-8585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2429
OK
Other
Enumeration date
10/25/2006
Last updated
03/13/2008
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