# ADVANCED ENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225847056
- **Authorized official:** BRADLEY RUSSELL MONS (OWNER PHYSICIAN)
- **Authorized official phone:** (918) 922-2368

## Contact information

- **Practice address:** 411 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
- **Practice address phone:** (918) 922-2368
- **Practice address fax:** (918) 922-2367
- **Mailing address:** 411 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
- **Mailing address phone:** (918) 922-2368
- **Mailing address fax:** (918) 922-2367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/09/2026