Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 4854 | OK |
NPI | 1376684167 |
---|---|
Provider Name | Brandon Scott Claflin |
First Address | Tulsa, OK 74137-2739 |
Second Address | Tulsa, OK 74137-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 28/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200299940A | (05) | OK |