Individual provider · Type 1 NPI

Dalton Jacob Wyrick

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1508499856 Active

Practice location

5404 E 14th St
Tulsa, OK 74112-6304

Call (918) 852-9840 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508499856

Dalton Jacob Wyrick's National Provider Identifier is 1508499856, issued on Feb 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 14, 2020.