Individual
BRANDON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 N MAIN ST, GORE, OK 74435-2013
(918) 489-5757
(918) 489-5411
Mailing address
700 N MAIN ST, GORE, OK 74435-2013
(918) 489-5757
(918) 489-5411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5242
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
02/21/2011
Last updated
10/29/2014
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