Individual
LEVI DALE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRSS
Contact information
Practice address
10316 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73139-5559
(405) 986-3253
Mailing address
10326 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7643
(405) 759-3860
(405) 378-2486
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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