Brantley Medical Pllc

NPI #1679149413 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1679149413
Entity Type: Organization
Organization Name: Brantley Medical Pllc
Primary Specialty: Dermatology
Enumeration Date: Jun 2, 2021
Last Updated: Jun 2, 2021

Practice Location

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

Authorized Official

Name: ELISE IRENE BRANTLEY, MD
Title: OWNER
Phone: (405) 562-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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