Most Relevant Information
Provider Data
| NPI Number: | 1003062878 |
| Provider Name: | BRADY DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2008 |
| Last Updated: | 08/13/2008 |
Provider Practice Location
702 N GRAND ST
ENID
OK
737013221
Practice Location Phone/Fax
| Phone: | 5802343791 |
| Fax: | 5802377711 |
Provider Mailing Location
1222 10TH ST STE 211
WOODWARD
OK
738013156
Provider Mailing Phone/Fax
| Phone: | 5802343791 |
| Fax: | 5802377711 |