Individual
BRADY GENE ENGLESTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 HERITAGE CIRCLE, PAWNEE, OK 74058
(918) 762-6536
(918) 762-4614
Mailing address
3963 S. HIGHWAY 97 #113, SAND SPRINGS, OK 74063
(918) 762-6536
(918) 762-4614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A54792
CA
Other
Enumeration date
12/15/2005
Last updated
12/19/2011
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