Individual
AUSTIN WILLIAM BRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 E MAIN ST, TISHOMINGO, OK 73460-2409
(580) 371-2396
Mailing address
1705 GEETA RD, EDMOND, OK 73003-3707
(405) 474-6361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7313
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2020
Last updated
05/20/2021
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