Individual
MR. ALLEN SPOONER BRAUMILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S 79TH ST, BROKEN ARROW, OK 74014-2726
(405) 800-6303
Mailing address
100 S 79TH ST, BROKEN ARROW, OK 74014-2726
(405) 800-6303
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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