Doctor Name: | DR. MATTHEW PHILLIP BRILL |
NPI Number: | 1184993776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | UO2767 |
Business Practice Address: | Garrison Tower, Suite 4g4250 University Of Oklahoma Hsc, Radiologic Sciences Oklahoma City, OK - 73126 |
Business Phone Number: | 5616019191 |
Business Fax Number: | |
Mailing Address: | 6325 N Villa Ave, Unit 113 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731127188 |
Phone Number: | 5616019191 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2011 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | UO2767 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |