Individual
JEREMY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-4544
Mailing address
118 COUNTRY ROAD 7664, JONESBORO, AR 72405
(870) 926-0598
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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