Healthcare Provider Details

I. General information

NPI: 1770789075
Provider Name (Legal Business Name): BRETT R DEES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2007
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 24TH AVE NW SUITE 220
NORMAN OK
73069-6218
US

IV. Provider business mailing address

PO BOX 1330
NORMAN OK
73070-1330
US

V. Phone/Fax

Practice location:
  • Phone: 405-307-5700
  • Fax: 405-307-5704
Mailing address:
  • Phone: 405-307-5700
  • Fax: 405-307-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25616
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: