Bliss, Bryce Owen

Bliss, Bryce Owen is an individual health care provider with primary practice located at 1011 14Th Ave Nw , Ardmore OK 73401-1828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Bliss, Bryce Owen can be contacted via phone (580) 223-5400.

Contact Information

Primary practice address
1011 14Th Ave Nw Ardmore OK 73401-1828
Phone: (580) 223-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 7103 Oklahoma
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 30974 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 7103 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 30974 Arizona

Profile Details

NPI number 1982716452
LBN Legal business name Bliss, Bryce Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982716452 NPPES
Oklahoma MEDICAID 100098530A
Oklahoma Other 751465559002

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