Individual
GREGORY BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
1105 MONTREAL DR, YUKON, OK 73099-5350
(405) 595-8186
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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