DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRYAN TREACY, MD

Active Sole Proprietor

DR. BRYAN TREACY, MD is a Obstetrics healthcare provider located in MOORE, Oklahoma. NPI 1356339360 is currently active in the NPPES registry. Verify at CMS.

Obstetrics · MOORE, OK

Registration Details

NPI Number
1356339360
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2005 (20.836930570116 yrs)
Last Updated
Mar 30, 2010
License
23781 (OK)
Sole Proprietor
Yes

Practice Information

Address
1035 SW 19TH ST
SUITE B
MOORE, OK, 731602883
Browse OK providers · Browse ZIP 73160
Phone
4057939171
Fax
4057930815
Primary Specialty
Obstetrics
207VX0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.