Individual
RYAN ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13600 E 86TH ST N STE 100, OWASSO, OK 74055-8732
(918) 272-9313
Mailing address
1923 S UTICA AVE, CREDENTIALING DEPT, GROUND FL, TULSA, OK 74104-6520
(918) 272-9313
(918) 403-6311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201236230A
—
OK
Enumeration date
01/18/2024
Last updated
01/22/2026
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