Ryian Crenshaw
Ryian Crenshaw is a Point of Service in Ponca City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2015
Practice location Address checks out
410 Fairview AvePonca City, OK 74601-1922
Phone: (580) 749-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 1069 (OK) |
|---|
Record details
| NPI number | 1639565153 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2015 |
| Last updated in NPPES | March 30, 2021 |
| Certification date | January 4, 2021 |
| Mailing address | 410 Fairview Ave, Ponca City, OK 74601-1922 |