Individual
MR. MICHAEL BROBSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
6729 NW 39TH EXPRESSWAY, BETHANY, OK 73008
(405) 717-6256
Mailing address
6729 NW 39TH EXPRESSWAY, BETHANY, OK 73008
(405) 717-6256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
520
OK
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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