Individual
BROOKE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
59211 E 100 RD, MIAMI, OK 74354-4586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8066
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2021
Last updated
06/13/2024
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