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Individual

DR. BRENT NEAL HISEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 NW 9TH ST STE 201, OKLAHOMA CITY, OK 73106-7253
(405) 979-7875
(405) 979-7880
Mailing address
800 NW 9TH ST STE 201, OKLAHOMA CITY, OK 73106-7253
(405) 979-7875
(405) 979-7880

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OK14408
OK

Other

Enumeration date
10/25/2005
Last updated
04/01/2022
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