Individual
JACOB LOGAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1077 COUNTY STREET 2790, POCASSET, OK 73079-8020
(405) 476-1720
Mailing address
1077 COUNTY STREET 2790, POCASSET, OK 73079-8020
(405) 476-1720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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