Individual
ALEXANDER JONATHAN PETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-2316
Mailing address
11733 SW 17TH ST, YUKON, OK 73099-4566
(405) 608-5213
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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