Individual
JARED CONATSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 E MACARTHUR ST, SHAWNEE, OK 74804-2135
(405) 275-1001
Mailing address
1300 LINDALE AVE, NORMAN, OK 73069-4421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2947
OK
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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