Dr. Bryan Andrew Vandoren
Internist - Addiction Medicine
10810 E 45th St Ste 400
Tulsa
, Oklahoma 74146-3806
Dr. Bryan Andrew Vandoren
Internist - Addiction Medicine
10810 E 45th St Ste 400
Tulsa
, Oklahoma 74146-3806
(918) 710-4118
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Bryan Andrew Vandoren
- 4716 S Urbana Street Ste 200
- Broken Arrow, OK
- Zip : 74012-5997
- Fax : (918) 710-4118
- Phone : (918) 710-4112
Second Address
- Dr. Bryan Andrew Vandoren
- 10810 E 45th St Ste 400
- Tulsa, OK
- Zip : 74146-3806
- Fax : (918) 742-9958
- Phone : (918) 742-7030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 17313 | OK |
National Provider Identifier
| NPI | 1447298120 |
|---|---|
| Provider Name | Dr. Bryan Andrew Vandoren |
| First Address | Broken Arrow, OK 74012-5997 |
| Second Address | Tulsa, OK 74146-3806 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 31/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.