Individual
DR. BRENT WYATT HINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 N FLORENCE AVE, STE. 101, CLAREMORE, OK 74017-3179
(918) 342-3633
(918) 342-8959
Mailing address
1501 N FLORENCE AVE, STE. 101, CLAREMORE, OK 74017-3179
(918) 342-3633
(918) 342-8959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200135950B
—
OK
Enumeration date
12/18/2007
Last updated
05/01/2014
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