| Brant Medical Of Drumright, Llc | |
|
721 W Olive St Stroud OK 74079-4500 | |
| (918) 968-2075 | |
| Not Available |
| Full Name | Brant Medical Of Drumright, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 721 W Olive St, Stroud, Oklahoma |
| Authorized Official Name and Position | Douglas Brant (OWNER) |
| Authorized Official Contact | 9185090454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brant Medical Of Drumright, Llc Po Box 146 Drumright OK 74030-0146 Ph: (918) 509-0454 | Brant Medical Of Drumright, Llc 721 W Olive St Stroud OK 74079-4500 Ph: (918) 968-2075 |
| NPI Number | 1851153746 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 6709220825 |
|---|---|
| Medicare Enrollment ID | O20240216002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851153746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Douglas W Brant |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588656094 PECOS PAC ID: 4082649660 Enrollment ID: I20051227000185 |
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