Ryian Crenshaw
NPI #1639565153 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1639565153
- Entity Type
- Individual
- Name
- Ryian Crenshaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Point of Service
- Enumeration Date
- Apr 10, 2015
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 410 FAIRVIEW AVE
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-1922
- Phone
- (580) 749-4227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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