Individual
JOHN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8320 NE 10TH ST, MIDWEST CITY, OK 73110-7155
(405) 640-8813
Mailing address
8320 NE 10TH ST, OKLAHOMA CITY, OK 73110-7155
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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