Individual
MATTHEW BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
(918) 540-7739
Mailing address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
(918) 540-7739
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
245
OK
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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