Individual
DR. BRADLEY HULEN RANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1106 SE WASHINGTON ST, IDABEL, OK 74745-3442
(580) 208-2400
(580) 208-2401
Mailing address
1106 SE WASHINGTON ST, IDABEL, OK 74745-3442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11412
OK
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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