Individual
DR. JON EVERARD ORJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10512 N 110TH EAST AVE, STE 220, OWASSO, OK 74055-6638
(918) 376-8959
(918) 376-8999
Mailing address
10512 N 110TH EAST AVE, STE 220, OWASSO, OK 74055-6638
(918) 376-8959
(918) 376-8999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185170B
—
OK
01
—
1159420001
DME PROVIDER NUMBER
OK
Enumeration date
09/27/2005
Last updated
08/12/2016
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