Individual
BRADLEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2908
OK
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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