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Brandon Medical, Llc
Prosthetic/Orthotic Supplier in Fort Gibson, Oklahoma
NPI 1073511184

Brandon Medical, Llc is a Prosthetic/Orthotic Supplier based in Fort Gibson, OK. Brandon Medical, Llc practices in Fort Gibson, OK. The NPI Number for Brandon Medical, Llc is 1073511184 and holds a License No. (Oklahoma).

The current practice location address for Brandon Medical, Llc is 110 North Lee Street, Fort Gibson, OK and can be reached out via phone at 918-478-2845 and via fax at 918-478-5519.

Location: 110 North Lee Street, Fort Gibson, OK, 74434-0684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073511184
Provider Name
Brandon Medical, Llc
Credential
Provider Entity Type
Organization
Address
110 North Lee Street, Fort Gibson, OK, 74434-0684
Phone Number
918-478-2845
Fax Number
918-478-5519
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100812890A 05 OK
institution
Provider Business Practice Location Address Details
Address
110 North Lee Street
City
Fort Gibson
State
Oklahoma
Zip
74434
Phone Number
918-478-2845
Fax Number
918-478-5519
person
Provider Business Mailing Address Details
Address
110 North Lee Street
City
Fort Gibson
State
Oklahoma
Zip
74434
Phone Number
918-478-2845
Fax Number
918-478-5519
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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