Individual
ZANE PAUL BRUGENEHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2000 W DANFORTH RD STE 120, EDMOND, OK 73003-4688
(402) 680-2746
Mailing address
18213 BODEGON RD, EDMOND, OK 73012-5905
(402) 680-2746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
929
OK
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PENDING
OK
Other
Enumeration date
03/22/2024
Last updated
03/28/2024
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