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Individual

DR. DYLAN TYLER ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 515-1000
Mailing address
1515 TOWER DR, MOORE, OK 73160-6181
(405) 310-0836
(405) 758-5354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7374
OK
208M00000X
Hospitalist Physician
Primary
7374
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15924963
CAQH
05
201016940A
OK
01
7774220
CIGNA
OK
01
8365430
AETNA
OK
Enumeration date
04/06/2020
Last updated
04/01/2026
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