Individual
BRETT GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 S 4138 RD, TALALA, OK 74080-9627
(918) 949-7576
Mailing address
5601 S 4138 RD, TALALA, OK 74080-9627
(918) 949-7576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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