Individual
BRETT KOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7718 E 91ST ST STE 200, TULSA, OK 74133-6061
(918) 392-0720
Mailing address
PO BOX 702586, TULSA, OK 74170-2586
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20841
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017330C
—
OK
01
—
P00325952
RR MEDICARE
OK
Enumeration date
03/31/2006
Last updated
02/06/2014
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