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NPI Code Detail

MEDICARE: DR. ROBERT S RYAN M.D.

MEDICARE: DR. ROBERT S RYAN M.D.
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
1207V00000XObstetrics & Gynecology Physician15972OK

General Provider Information

NPI Number : 1538135538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT S RYAN M.D.
Provider Business Mailing Address
First Line : 3000 N GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1818
Country : US
Telephone Number : 405-632-6688
Fax Number : 405-604-0708
Provider Business Practice Location Address
First Line : 1025 STRAKA TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-2544
Country : US
Telephone Number : 405-632-6688
Fax Number : 405-604-0708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 02/17/2014

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