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NPI Code Detail

MEDICARE: MICHAEL LYNN BYRD

MEDICARE: MICHAEL LYNN BYRD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1215445242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LYNN BYRD
Provider Business Mailing Address
First Line : 7227 S WALKER AVE APT 139
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7616
Country : US
Telephone Number : 405-898-3007
Fax Number :
Provider Business Practice Location Address
First Line : 2808 NW 31ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7407
Country : US
Telephone Number : 405-848-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 02/15/2026

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