Individual
BRIAN KIRK FIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
909 SOUTH OAK STREET, PADEN, OK 74860
(405) 815-7461
Mailing address
PO BOX 52, PADEN, OK 74860-0052
(405) 815-7461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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