Individual
BROOKE M MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CNIM
Contact information
Practice address
15405 DAYBRIGHT DR, EDMOND, OK 73013-9627
(405) 249-1379
Mailing address
15405 DAYBRIGHT DR, EDMOND, OK 73013-9627
(405) 249-1379
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
359
OK
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200197630A
—
OK
Enumeration date
06/16/2008
Last updated
07/29/2020
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