Individual
BRIANNA MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9145 E 117TH ST S, BIXBY, OK 74008-1804
(918) 853-5796
Mailing address
9145 E 117TH ST S, BIXBY, OK 74008-1804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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