Individual
JONATHAN PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7301 SW 44TH ST STE A, OKLAHOMA CITY, OK 73179-4309
(405) 357-3500
(405) 357-3519
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 357-3500
(405) 357-3519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2975
OK
Other
Enumeration date
04/29/2019
Last updated
11/14/2019
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