Shane Palmer Braig

NPI #1336747609 in Del City, Oklahoma

Provider Information

NPI Number: 1336747609
Entity Type: Individual
Name: Shane Palmer Braig
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 5113 SE 15TH ST STE A
City: Del City
State: Oklahoma
ZIP Code: 73115-3952
Phone: (405) 600-3252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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