Individual
DR. JACKIE GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16400 N MAY AVE, EDMOND, OK 73013-8971
(405) 471-6800
(405) 471-6811
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 471-6800
(405) 471-6811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131050A
—
OK
Enumeration date
09/15/2005
Last updated
10/01/2018
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