Individual
MRS. BREANNA J BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9709 E 79TH ST, TULSA, OK 74133-4566
(918) 994-4000
Mailing address
9709 E 79TH ST, TULSA, OK 74133-4566
(918) 994-4000
(918) 994-4090
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1999
OK
363AM0700X
Medical Physician Assistant
PT2020-062
AR
Other
Enumeration date
11/17/2010
Last updated
09/28/2022
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