Individual
VICKIE M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4710
(405) 265-6308
Mailing address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4710
(405) 265-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072170A
—
OK
01
—
P00323228
RAILROAD MEDICARE
OK
Enumeration date
02/21/2006
Last updated
08/03/2010
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