Individual
BRANDEN BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
391
OK
Other
Enumeration date
04/06/2021
Last updated
09/16/2024
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