NPI 1114447984
Austin Tanner Brookover, DO
Practice location
- Address
- 1400 E Downing St, Tahlequah, OK 74464-3324
- Phone
- (918) 456-0641
- Mailing address
- 5657 S Madison Ave, Tulsa, OK 74105-7712
Registered specialties (3)
Emergency Medicine Physician
Primary
Student Health Clinic/Center
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1114447984
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2017
- Record last updated
- 5 Jun 2020
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.