Individual
BROOKE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
(918) 300-1059
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
(918) 300-1059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4701
OK
Other
Enumeration date
01/31/2022
Last updated
01/08/2025
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