Individual
DR. BRANDON DALE VARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2448 E 81ST ST, SUITE 1100, TULSA, OK 74137-4250
(918) 505-3400
(918) 508-7070
Mailing address
2448 E 81ST ST, SUITE 1100, TULSA, OK 74137-4250
(918) 505-3400
(918) 508-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2002013748
MO
208600000X
Surgery Physician
Primary
26216
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200199150 A
—
OK
01
—
OK400757
MEDICARE INDIVIDUAL PTAN
OK
Enumeration date
11/17/2006
Last updated
04/13/2023
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