Individual
MR. BRACK ALLEN GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2400 NW 36TH ST, OKLAHOMA CITY, OK 73112-7844
(405) 999-5252
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64624
OK
Other
Enumeration date
01/17/2019
Last updated
11/24/2025
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