Individual
BRICE LOGAN KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 39TH PL, TULSA, OK 74135-5548
(405) 788-8681
Mailing address
5310 E 39TH PL, TULSA, OK 74135-5548
(405) 788-8681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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