Male or Other

Brendon D. Mccollom DO

Family Medicine Physician in Oklahoma City, OK(View on Map)

Full Name

Brendon Dean Mccollom DO

NPI Number

1225256282

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/23/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

4315

Contact
Information

Purpose

Mailing
Location

Address

5201 W MEMORIAL RD
5201 W MEMORIAL RD

City

Oklahoma City
Oklahoma City

State

OK
OK

Postal Code

73142-2004
73142-2004

Country

US
US

Telephone Number

(405) 755-4050
(405) 755-4050

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/24/2015

Provider Address

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