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Search › Oklahoma › 225100000X

Preston Runyan

NPI 1427407378 · on the registry since 2016

Practice

Address
14890 Se 29th St
Choctaw, OK 73020
Phone
(405) 390-1731
Fax
(405) 390-1981
Organisation at this address
Ptms 3.0, Llc
Choctaw Womens Clinic Pllc
Matt'S Country Boy Pharmacy Llc
Choctaw Health & Wellness Clinic, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma