Individual
DR. BRIAN CODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 893-4036
Mailing address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 893-4036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3252
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090910A
—
OK
05
—
100090910B
—
OK
Enumeration date
08/21/2006
Last updated
10/03/2011
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