Organization
BRYAN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYLA BUTT M.D. (MANAGING MEMBER)
(580) 924-2424
Entity
Organization
Contact information
Practice address
1400 BRYAN DR, SUITE 211, DURANT, OK 74701-2156
(580) 924-2424
(580) 924-2425
Mailing address
720 BRYAN DR, SUITE A, DURANT, OK 74701-7032
(580) 924-2424
(580) 924-2425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23789
OK
Other
Enumeration date
08/21/2006
Last updated
02/02/2011
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