BRYAN MARSHALL TISON

EDMOND, OK
NPI1922518232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OK  101670)
Enumeration Date2017-10-02
Last Update Date2022-07-21
Business Address
BRYAN MARSHALL TISON PNP-PC
2000 E 15TH ST STE 400A
EDMOND, OK 73013-6673
Phone number: 405-341-1697
Mailing Address
BRYAN MARSHALL TISON PNP-PC
2000 E 15TH ST STE 400A
EDMOND, OK 73013-6673
Phone number: 405-341-1697
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