Individual
BRIANNA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
Mailing address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3155
OK
Other
Enumeration date
05/09/2021
Last updated
07/29/2021
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