Whalio Doctors

NPI 1003892621

Brady Gene Englestead, MD

Practitioner Pediatrics Physician Pawnee, OK

Practice location

Address
1201 Heritage Circle, Pawnee, OK 74058
Phone
(918) 762-6536
Fax
(918) 762-4614
Mailing address
3963 S. Highway 97 #113, Sand Springs, OK 74063

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A54792 (CA)

Registry record

NPI
1003892621
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Dec 2005
Record last updated
19 Dec 2011

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.