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Contact Information

RANDY L OBRYAN, MT
4934 S 94TH EAST AVE
TULSA, OK74145-7363
 Phone: 918-693-6866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for RANDY L OBRYAN · (Male)

NPI # 1881717692
Status Active
Credentials MT
Entity Individual
Enumeration date 04/08/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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