Individual
DR. BRIAN W MACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9840 E 81ST ST STE 200, TULSA, OK 74133-4584
(918) 872-8447
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24573
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200243270A
—
OK
Enumeration date
05/03/2007
Last updated
12/08/2015
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