Individual
BRENNON K COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1802 E 19TH ST, 400, TULSA, OK 74104-5425
(918) 748-7644
(918) 293-3184
Mailing address
1705 E 19TH ST, 302, TULSA, OK 74104-5405
(918) 744-2362
(918) 293-3180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3940
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200018170A
—
OK
Enumeration date
03/15/2006
Last updated
10/29/2007
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