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Individual

J RYAN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
6151 S YALE AVE STE 100A, TULSA, OK 74136-1929
(918) 494-8500
(918) 307-5578
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
937
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100137850A
OK
Enumeration date
01/30/2006
Last updated
05/28/2021
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