Individual
ELDEN BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1420 NE 23RD ST, OKLAHOMA CITY, OK 73111-3004
(405) 733-0771
Mailing address
1420 NE 23RD ST, OKLAHOMA CITY, OK 73111-3004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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