Individual
NATASHA NICHOLE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 280-1845
Mailing address
112604 S 4710 RD, MULDROW, OK 74948-6862
(918) 817-2576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6108
OK
207R00000X
Internal Medicine Physician
E-9090
AR
207R00000X
Internal Medicine Physician
OS100045
FL
Other
Enumeration date
05/15/2007
Last updated
08/31/2020
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