Individual
BRIAN LEE COLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
3905 S HUDSON AVE, TULSA, OK 74135-5607
(918) 627-3390
(918) 664-2134
Mailing address
3905 S HUDSON AVE, TULSA, OK 74135-5607
(918) 627-3390
(918) 664-2134
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT94
OK
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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