Individual
SHANE BRANDENBURG LEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 768-3555
Mailing address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 945-6215
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/09/2022
Last updated
09/29/2025
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