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Individual

DR. JAMIL H BITAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1102 W MACARTHUR ST, ER DEPARTMENT, SHAWNEE, OK 74804-1743
(405) 273-2270
Mailing address
14709 LONGFORD WAY, EDMOND, OK 73013-1851
(405) 312-8584

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26235
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386816528
BLUE SHIELD
OK
05
200196850A
OK
Enumeration date
03/27/2008
Last updated
12/15/2021
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