Individual
ERIC MESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31807 HOMER LANE RD, SHAWNEE, OK 74801-3432
(405) 432-8826
Mailing address
31807 HOMER LANE RD, SHAWNEE, OK 74801-3432
(405) 432-8826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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