Individual
GARRETT BRADLEY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5294 KINGS RD, ARDMORE, OK 73401-8873
(580) 224-1150
Mailing address
5294 KINGS RD, ARDMORE, OK 73401-8873
(580) 224-1150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A20518183
OK
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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