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Brad Luo

Student in an Organized Health Care Education/Training Program in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1265215263
StatusActive
Last updated in NPPESAug 15, 2023

Details

NPI
1265215263
Entity type
Individual (NPI-1)
Name
Brad Luo
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2023
Certification date
Aug 15, 2023
Last updated
Aug 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018

Phone 405-200-7164

Mailing address

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018

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