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Individual

DR. BRADLEY K WARRICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1202 W FARM RD, STILLWATER, OK 74078-2000
(405) 744-7665
Mailing address
3550 S 4TH ST, STE 200, LEAVENWORTH, KS 66048-5009
(407) 595-8154

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
4340
OK
207Q00000X
Family Medicine Physician
Primary
05-32073
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
4340
OK

Other

Enumeration date
06/12/2006
Last updated
05/29/2018
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