Individual
JASON CHRISTOPHER ONARECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2749 PROGRESSIVE DR, EDMOND, OK 73034-7303
(405) 772-4130
(405) 772-4135
Mailing address
2749 PROGRESSIVE DR, EDMOND, OK 73034
(405) 772-4130
(405) 772-4135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33016
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
03/04/2021
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