Organization
BRANTLEY MEDICAL PLLC
Active
Other names
Scissortail Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE IRENE BRANTLEY MD (OWNER)
(405) 562-6222
Entity
Organization
Contact information
Practice address
3030 NW 149TH ST, OKLAHOMA CITY, OK 73134-1849
(405) 562-6222
(405) 562-6522
Mailing address
3030 NW 149TH ST, OKLAHOMA CITY, OK 73134-1849
(405) 562-6222
(405) 562-6522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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