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General NPI Number Information
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NPI Number | 1225298979
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Entity Type | Organization
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Legal Business Name | CRAIGE M. BRESTEL, M.D. PLLC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3502 WEST BROADWAY STREET
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City | MUSKOGEE
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State | OK
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Zip | 74401
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Country | US
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Telephone | 918-687-5477
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Fax | 918-687-0684
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Provider Business Mailing Address
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Address Line | 3502 WEST BROADWAY STREET
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City | MUSKOGEE
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State | OK
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Zip | 74401
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Country | US
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Telephone | 918-687-5477
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Fax | 918-687-0684
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CRAIGE MONTANE BRESTEL
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Credential | MD
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Telephone | 918-687-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19912
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License Number State | OK
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