Alan Lee Brokenicky, PA

NPI #1184889768 in Tulsa, Oklahoma

Provider Information

NPI Number: 1184889768
Entity Type: Individual
Name: Alan Lee Brokenicky, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 23, 2008
Last Updated: Jan 12, 2017

Practice Location

Address: 9912 E 21ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74129-1620
Phone: (918) 622-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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