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NPI 1225847056 · Otolaryngology/Facial Plastic Surgery Physician · Broken Arrow, OK
Provider details
- NPI number
- 1225847056
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Bradley Mons, Owner Physician
Practice location
411 Stone Wood Dr
Broken Arrow, OK 74012-1026
Phone: (918) 922-2368
Fax: (918) 922-2367
Mailing address
411 Stone Wood Dr
Broken Arrow, OK 74012-1026
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.