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Individual

BRADLEY CHRISTIANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4800 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 742-2502
Mailing address
4800 S 109TH EAST AVE, TULSA, OK 74146-5822

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3425
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
3425
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100259270A
OK
Enumeration date
05/06/2006
Last updated
12/30/2020
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