Organization
BRAYDERIK CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J YOUNG (CEO)
(918) 931-7232
Entity
Organization
Contact information
Practice address
1607 S MUSKOGEE AVE STE C, TAHLEQUAH, OK 74464-5440
(918) 931-7232
Mailing address
807 W DOWNING ST, TAHLEQUAH, OK 74464-2719
(918) 931-7232
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
06/24/2021
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