Individual
MISTY QUINN BRANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4 E CLARK BASS BLVD, SUITE 301, MCALESTER, OK 74501-4269
(918) 421-8966
(918) 421-8990
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-8966
(918) 421-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4619
OK
Other
Enumeration date
05/29/2008
Last updated
04/28/2016
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