Individual
RYAN KNOERDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-6753
Mailing address
1005 E KIOWA AVE, MCALESTER, OK 74501-5939
(724) 601-6531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5035
OK
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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