ALAN LEE BROKENICKY

TULSA, OK
NPI1184889768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1752)
Enumeration Date2008-07-23
Last Update Date2017-01-12
Business Address
-- ALAN LEE BROKENICKY PA
9912 E 21ST ST
TULSA, OK 74129-1620
Phone number: 918-622-0641
Mailing Address
-- ALAN LEE BROKENICKY PA
1705 E 19TH ST STE 302
TULSA, OK 74104-5410
Phone number: 918-748-7585
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