BRYCE RUDEK

TAHLEQUAH, OK
NPI1679936348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: TX  AT4225)
Enumeration Date2016-03-31
Last Update Date2016-03-31
Business Address
-- BRYCE RUDEK ATC
591 PENDLETON ST
TAHLEQUAH, OK 74464-2271
Phone number: 918-458-4154
Mailing Address
-- BRYCE RUDEK ATC
1390 N HERITAGE LN APT 25
TAHLEQUAH, OK 74464-2136
Phone number: 580-512-5506