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Contact Information

BRYAN A VANDOREN, MD
6130 E 81ST ST
TULSA, OK74137-2125
 Phone: 918-401-1002
 Fax: 918-493-3304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for BRYAN A VANDOREN · (Male)

NPI Number 1447298120
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 17313
  • OK Medicaid 100229400A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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