Organization
FRANCISCO EFRIAN BRAVO JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO EFRIAN BRAVO JR. MD PC (OWNER)
(918) 456-0655
Entity
Organization
Contact information
Practice address
302 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 456-0655
(918) 456-1356
Mailing address
302 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 456-0655
(918) 456-1356
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
19440
OK
Other
Enumeration date
08/13/2007
Last updated
08/20/2007
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