Individual
CAYCI L BRICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
124 N 6TH ST, OKEENE, OK 73763-9135
(580) 822-4404
(580) 822-4403
Mailing address
PO BOX 389, OKEENE, OK 73763-0389
(580) 822-4404
(580) 822-4403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33600
OK
207Q00000X
Family Medicine Physician
38429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400522415
—
OK
Enumeration date
05/05/2015
Last updated
11/17/2020
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