Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 4552 | OK |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 4552 | OK |
NPI | 1104814045 |
---|---|
Provider Name | Dr. Brandon Rhinehart |
First Address | Oklahoma City, OK 73114-1670 |
Second Address | Oklahoma City, OK 73114-1670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 28/01/2022 |