Elise I Brantley, MD

NPI #1215148507 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1215148507
Entity Type: Individual
Name: Elise I Brantley, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: May 25, 2007
Last Updated: Jun 3, 2021

Practice Location

Address: 3030 NW 149TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73134-1849
Phone: (405) 562-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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