Provider Demographics
NPI:1467711929
Name:BRANDON S CLAFLIN, DO, PLLC
Entity Type:Organization
Organization Name:BRANDON S CLAFLIN, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLAFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-728-8020
Mailing Address - Street 1:9308 S TOLEDO AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2739
Mailing Address - Country:US
Mailing Address - Phone:918-728-8020
Mailing Address - Fax:918-728-8019
Practice Address - Street 1:9308 S TOLEDO AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2739
Practice Address - Country:US
Practice Address - Phone:918-728-8020
Practice Address - Fax:918-728-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200432640AMedicaid
OK200432640AMedicaid