Organization
BRANT BENNETT, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANT QUINN BENNETT MD (PHYSICIAN)
(405) 924-0050
Entity
Organization
Contact information
Practice address
3500 HEALTHPLEX PKWY # 102, NORMAN, OK 73072-9738
(405) 307-6955
Mailing address
305 SUMMIT CREST LN, NORMAN, OK 73071-4083
(405) 924-0050
(405) 293-4365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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