Brandon Medical, LLC
NPI #1073511184 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1073511184
- Entity Type
- Organization
- Organization Name
- Brandon Medical, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- 110 NORTH LEE STREET
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434
- Phone
- (918) 478-2845
Authorized Official
- Name
- STEVEN M BRANDON
- Title
- PRESIDENT
- Phone
- (918) 478-2845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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