Provider Demographics
NPI:1952340572
Name:ALLEE, BRIAN A (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:ALLEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:105 N INDIAN MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:PAULS VALLEY
Mailing Address - State:OK
Mailing Address - Zip Code:73075-9236
Mailing Address - Country:US
Mailing Address - Phone:405-207-9800
Mailing Address - Fax:405-207-9898
Practice Address - Street 1:105 N INDIAN MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:PAULS VALLEY
Practice Address - State:OK
Practice Address - Zip Code:73075-9236
Practice Address - Country:US
Practice Address - Phone:405-207-9800
Practice Address - Fax:405-207-9898
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKOK3835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100120270HMedicaid
OK100120270HMedicaid