Individual
BRENDON DEAN MCCOLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 755-4050
(405) 749-9566
Mailing address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 755-4050
(405) 749-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4315
OK
Other
Enumeration date
04/23/2007
Last updated
04/24/2015
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