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NPI Code Detail

MEDICARE: MICHAEL BRYER-ASH MD

MEDICARE: MICHAEL BRYER-ASH MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician28961TN
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA39345CA
3207RE0101XEndocrinology, Diabetes & Metabolism Physician0101275128VA
4207RE0101XEndocrinology, Diabetes & Metabolism Physician26124OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A393450OTHERCAMEDICAL PPIN #

General Provider Information

NPI Number : 1649205899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BRYER-ASH MD
Provider Business Mailing Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Provider Business Practice Location Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 01/24/2023

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