Individual
BRANDON ROBERT BETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3130
(918) 660-3132
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
38213
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
12/20/2021
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