Provider Demographics
NPI:1669629622
Name:WEST, RYAN R (PA)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:R
Last Name:WEST
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Gender:F
Credentials:PA
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Mailing Address - Street 1:14100 PARKWAY COMMONS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6103
Mailing Address - Country:US
Mailing Address - Phone:405-242-4720
Mailing Address - Fax:405-242-4933
Practice Address - Street 1:14100 PARKWAY COMMONS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-6103
Practice Address - Country:US
Practice Address - Phone:405-242-4720
Practice Address - Fax:405-242-4933
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2020-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK1620363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical