Brady Reynolds Valid NPI
Individual provider · Peer Specialist · Edmond, OK
- NPI
- 1275006975
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Practice location
1301 Shalamar Rd
Edmond, OK 73013-6026
(918) 541-3300