Individual
MR. BRIAN CARLTON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6525 N MERIDIAN AVE, SUITE 311, OKLAHOMA CITY, OK 73116-1420
(405) 721-1115
(866) 721-2025
Mailing address
1823 S LINDSAY AVE, OKLAHOMA CITY, OK 73129-4431
(405) 640-7253
(405) 721-2025
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1402
OK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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