Brady Gene Englestead M.D.

NPI 1003892621 - Pediatrics - 208000000X

NPI Details
NPI 1003892621
Gender Male
Enumeration Date 12/15/2005
Last Updated 12/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1201 HERITAGE CIRCLE
PAWNEE OK, 74058, US
Phone (918) 762-6536
Fax (918) 762-4614
Business Location
3963 S. HIGHWAY 97 #113
SAND SPRINGS OK, 74063, US
Phone (918) 762-6536
Fax (918) 762-4614
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A54792
Remove 1003892621 NPI Number
 

According to our database, Brady Gene Englestead M.D. NPI is 1003892621, taxonomy code is 208000000X and license number is A54792, license state is located at California. Brady Gene Englestead M.D. physically located at 1201 Heritage Circle, Pawnee OK, 74058. NPI Number Brady Gene Englestead M.D. has the Individual type.

Sponsored links

1003892621 NPI number is provided on an as is basis without warranty of any kind. 1003892621 is maintained by the National Plan & Provider Enumeration System. The contents of Brady Gene Englestead M.D. are for informational purposes only.