Individual
BROOKE ELLEN PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 416-9701
(405) 752-3963
Mailing address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 416-9701
(405) 752-3963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5182
OK
Other
Enumeration date
10/30/2023
Last updated
01/29/2024
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