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Individual

JOHNATHAN JAMES LEDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6565 S YALE AVE STE 1200, TULSA, OK 74136
(918) 502-3376
(918) 502-3375
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33281
OK
207N00000X
Dermatology Physician
E-8742
AR

Other

Enumeration date
06/10/2009
Last updated
05/16/2018
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