Provider / Organization | NPI | Date Certified |
---|---|---|
BRAYDEN MCKAY RUCKER | 1225708852 | 2023-05-07 |
Brayden Mckay Rucker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225708852. Registration indicates Brayden Mckay Rucker is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Brayden Mckay Rucker DO |
Practice Office Address | 920 STANTON L YOUNG BLVD WP 1140 OKLAHOMA CITY, OK US |
Practice Office Telephone | 4052714351 |
Mailing Address | 920 STANTON L YOUNG BLVD WP 1140 OKLAHOMA CITY, OK 731041886 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |