Organization
JACK B. HOWARD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK B HOWARD MD (OWNER)
(580) 436-2626
Entity
Organization
Contact information
Practice address
1201 ARLINGTON ST STE F, ADA, OK 74820-4072
(580) 436-2626
(580) 436-3244
Mailing address
1201 ARLINGTON ST STE F, ADA, OK 74820-4072
(580) 436-2626
(580) 436-3244
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8314
OK
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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