Individual
BRIAN PFENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, RDCS, RDMS
Contact information
Practice address
2805 S BRYANT AVE STE B, EDMOND, OK 73013-6158
(405) 330-2225
(405) 832-1172
Mailing address
4808 NW 159TH ST, EDMOND, OK 73013-3220
(405) 330-2225
(405) 832-1172
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
146528
OK
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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