Individual
BRADY LLOYD FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 561-1145
Mailing address
1201 S ADAMS ST, STILLWATER, OK 74074-5476
(580) 922-0286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/16/2022
Last updated
11/07/2024
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