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Individual

BRANDON TAYLOR NARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4300 W MEMORIAL RD, ER DEPT., OKLAHOMA CITY, OK 73120-8304
(405) 752-3733
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
940
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100138440A
OK
01
P00243418
RR MEDICARE
OK
Enumeration date
03/31/2006
Last updated
11/09/2007
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