Organization
BRETT D ABERNETHY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT D ABERNETHY M.D. (PRESIDENT)
(405) 799-0900
Entity
Organization
Contact information
Practice address
604 S CLASSEN AVE, SUITE C, MOORE, OK 73160-5401
(405) 799-0900
(405) 799-0902
Mailing address
PO BOX 7593, MOORE, OK 73153-1593
(405) 799-0900
(405) 799-0902
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
25259
OK
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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