Individual
MASON P JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-8042
(405) 951-8113
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-8042
(405) 951-8113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050040A
—
OK
Enumeration date
02/23/2006
Last updated
05/14/2015
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