Courtney Ryane Tyner, PA-C

NPI #1356004717 in Edmond, Oklahoma

Provider Information

NPI Number: 1356004717
Entity Type: Individual
Name: Courtney Ryane Tyner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 21, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 1600 MEDICAL CENTER DR
City: Edmond
State: Oklahoma
ZIP Code: 73034-6357
Phone: (405) 330-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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