NPI 1073511184

Brandon Medical, LLC

Organisation Prosthetic/Orthotic Supplier Fort Gibson, OK

Practice location

Address: 110 North Lee Street, Fort Gibson, OK 74434
Phone: (918) 478-2845
Fax: (918) 478-5519
Mailing address: PO Box 684, Fort Gibson, OK 74434-0684

Authorised official

Name: Steven M Brandon
Title: President
Phone: (918) 478-2845

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Oklahoma →

Registry record

NPI: 1073511184
Entity type: Organization
NPI issued: 12 Jul 2005
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.