Organization
MTB MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKUS BRUNER (CEM)
(405) 605-2292
Entity
Organization
Contact information
Practice address
1032 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5209
(405) 605-2292
(405) 605-2266
Mailing address
PO BOX 53182, OKLAHOMA CITY, OK 73152-3182
(405) 605-2292
(405) 605-2266
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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