Individual
BRENT JAMES DENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 S PARK LN, ALTUS, OK 73521
(580) 379-6650
(580) 379-6659
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-6650
(580) 379-6659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5299
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200181840A
—
OK
Enumeration date
02/15/2007
Last updated
08/24/2022
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