Individual
JEREMY RANSDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 S ELM ST, JENKS, OK 74037-3701
(918) 403-7144
(918) 856-5561
Mailing address
220 S ELM ST, JENKS, OK 74037-3701
(918) 403-7144
(918) 856-5561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6042
OK
Other
Enumeration date
04/29/2015
Last updated
09/18/2018
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