Maston Bradley Wolfe III MPT

NPI 1669668042 - Clinic/Center - 261QP2000X

NPI Details
NPI 1669668042
Gender Male
Enumeration Date 09/19/2007
Last Updated 09/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6525 N MERIDIAN AVE
SUITE 311
OKLAHOMA CITY OK, 73116-1420, US
Phone (405) 721-1115
Fax (405) 728-1115
Business Location
6525 N MERIDIAN AVE
SUITE 311
OKLAHOMA CITY OK, 73116-1420, US
Phone (405) 721-1115
Fax (405) 728-1115
Toxanomy
Taxonomy Code 261QP2000X
License State Oklahoma
License Number 4004
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According to our database, Mr. Maston Bradley Wolfe III MPT NPI is 1669668042, taxonomy code is 261QP2000X and license number is 4004, license state is located at Oklahoma. Maston Bradley Wolfe III MPT physically located at 6525 N Meridian Ave, Oklahoma City OK, 73116-1420. NPI Number Maston Bradley Wolfe III MPT has the Individual type.

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1669668042 NPI number is provided on an as is basis without warranty of any kind. 1669668042 is maintained by the National Plan & Provider Enumeration System. The contents of Maston Bradley Wolfe III MPT are for informational purposes only.