Individual
JEREMY R MERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W MAIN ST STE 400, PAWHUSKA, OK 74056-4151
(918) 287-5414
Mailing address
1102 S TINKER AVE, HOMINY, OK 74035-6055
(918) 907-1657
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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