Individual
BRANDON ALLEN HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9225 N 143RD EAST AVE, OWASSO, OK 74055-2746
(918) 549-0021
Mailing address
9225 N 143RD EAST AVE, OWASSO, OK 74055-2746
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8092
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
07/13/2023
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