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Individual

DR. BRENT LANE NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2424 E 21ST ST, SUITE 320, TULSA, OK 74114-1722
(918) 392-4547
(918) 392-4555
Mailing address
2424 E 21ST ST, SUITE 320, TULSA, OK 74114-1722
(918) 392-4547
(918) 392-4555

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
25287
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200096320A
OK
01
P00684517
RAILROAD MEDICARE
OK
Enumeration date
09/29/2006
Last updated
03/22/2012
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