Individual
BRANT DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 S PLUM AVE, NEWKIRK, OK 74647-7008
(580) 362-6611
Mailing address
716 S PLUM AVE, NEWKIRK, OK 74647-7008
(580) 362-6611
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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