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Individual

JASON R SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
825 NE 10TH ST, OUPB #4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-3445
Mailing address
825 NE 10TH ST, OUPB #4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-3445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29729
OK

Other

Enumeration date
06/10/2008
Last updated
11/18/2013
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