Organization · Type 2 NPI
Brayderik Consulting
Primary Podiatric Medicine Podiatrist · Tahlequah, OK
NPI number
1235677121
Active
Practice location
1607 S Muskogee Ave Ste C
Tahlequah, OK 74464-5440
Mailing address
807 W Downing St
Tahlequah, OK 74464-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | None listed |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1235677121
Brayderik Consulting's National Provider Identifier is 1235677121, issued on Feb 10, 2017. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 24, 2021.