Provider Demographics
NPI:1023167798
Name:LINK, BRIAN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ALAN
Last Name:LINK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-755-1515
Mailing Address - Fax:405-936-5211
Practice Address - Street 1:4140 W MEMORIAL RD
Practice Address - Street 2:SUITE 518
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8366
Practice Address - Country:US
Practice Address - Phone:405-749-4230
Practice Address - Fax:405-749-4228
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-01-03
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Provider Licenses
StateLicense IDTaxonomies
OK23047208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK23047OtherOK LICENSE
OK32642OtherOBNDD