Individual
JASON MATTHEW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 S KEELER AVE, BARTLESVILLE, OK 74003-4754
(918) 697-8588
Mailing address
1025 S KEELER AVE, BARTLESVILLE, OK 74003-4754
(918) 697-8588
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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