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Michael K Briscoe, O.D.

Optometrist in Durant, OK. Individual provider (NPI-1).

NPI number1477568293
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1477568293
Entity type
Individual (NPI-1)
Name
Michael K Briscoe
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist954OKYes

Practice location

1400 Bryan Dr
Suite 303
Durant, OK 74701-2156

Phone 580-924-5211

Mailing address

1400 Bryan Dr
Suite 303
Durant, OK 74701-2156

Phone 580-924-5211

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