Individual
JAMIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 373-1801
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 965-9203
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
06/05/2020
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