Individual
DR. TIFFANY GAIL BRAZEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9720 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6315
(405) 280-7546
(405) 772-8674
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27705
OK
Other
Enumeration date
07/01/2006
Last updated
10/20/2014
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