Vandoren, Bryan Andrew
Vandoren, Bryan Andrew is an individual health care provider with primary practice located at 9320 S Mingo Rd , Tulsa OK 74133-5710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Vandoren, Bryan Andrew can be contacted via phone (918) 901-9701.Contact Information
Primary practice address
9320 S Mingo Rd
Tulsa OK 74133-5710
Phone: (918) 901-9701
Fax: (918) 901-9702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 17313 | Oklahoma |
Profile Details
| NPI number | 1447298120 |
|---|---|
| LBN Legal business name | Vandoren, Bryan Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Apr 24th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447298120 | NPPES |
| Oklahoma | MEDICAID | 100229400A |
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