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Brooke Ellen Pelton, PA-C

Physician Assistant, Medical in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1407628811
StatusActive
Last updated in NPPESJan 29, 2024

Details

NPI
1407628811
Entity type
Individual (NPI-1)
Name
Brooke Ellen Pelton
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2023
Certification date
Jan 29, 2024
Last updated
Jan 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical5182OKYes

Practice location

5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607

Phone 405-416-9701 · Fax 405-752-3963

Mailing address

5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607

Phone 405-416-9701 · Fax 405-752-3963

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