Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dalton Jacob Wyrick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508499856

Dalton Jacob Wyrick is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

5404 E 14th St
Tulsa, OK 74112-6304
Phone: (918) 852-9840
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508499856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2020
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address5404 E 14th St, Tulsa, OK 74112-6304

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