Individual
JACK RITCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 4 BOX 2270, STILWELL, OK 74960-9495
(918) 797-5478
(918) 696-5874
Mailing address
RR 4 BOX 2270, STILWELL, OK 74960-9495
(918) 797-5478
(918) 696-5874
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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