Individual
BRIAN CRAIG DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
802 S JACKSON AVE STE 505, TULSA, OK 74127-9060
(918) 747-5322
(918) 746-7604
Mailing address
802 S JACKSON AVE STE 505, TULSA, OK 74127-9060
(918) 747-5322
(918) 746-7604
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3943
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086360A
—
OK
Enumeration date
06/10/2006
Last updated
02/13/2019
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