Organization
BUST STOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE BRASHEAR (OWNER)
(918) 250-0180
Entity
Organization
Contact information
Practice address
8270 E 71ST ST, TULSA, OK 74133-2908
(918) 250-0180
(918) 250-8508
Mailing address
8270 E 71ST ST, TULSA, OK 74133-2908
(918) 250-0180
(918) 250-8508
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OK
Other
Enumeration date
03/06/2008
Last updated
07/21/2022
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