Individual
MICHAEL K BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 BRYAN DR, SUITE 303, DURANT, OK 74701-2156
(580) 924-5211
Mailing address
1400 BRYAN DR, SUITE 303, DURANT, OK 74701-2156
(580) 924-5211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
954
OK
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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