Individual
DR. BRADLEY RUSSELL MONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
411 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
(918) 924-6275
(918) 518-7563
Mailing address
411 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
(918) 922-2368
(918) 922-2367
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57565
WI
207YS0123X
Facial Plastic Surgery Physician
Primary
5413
OK
207YS0123X
Facial Plastic Surgery Physician
OS014959
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
57565
WI
Other
Enumeration date
05/17/2007
Last updated
10/07/2025
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