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Individual

DR. BRIAN KEITH FIRESTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-7873
Mailing address
3037 NW 63RD ST STE W251, OKLAHOMA CITY, OK 73116-3637
(405) 691-0505
(405) 691-0507

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30196
OK
207W00000X
Ophthalmology Physician
MD445114
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200517730B
OK
Enumeration date
06/02/2008
Last updated
12/19/2025
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