Individual
JEFFREY M SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 WALL ST, POTEAU, OK 74953-4433
(918) 635-3400
(918) 635-3394
Mailing address
34001 BERRYFROST LN, POTEAU, OK 74953-9003
(918) 647-0660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15000
OK
207P00000X
Emergency Medicine Physician
R-4340
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229820B
—
OK
Enumeration date
02/21/2006
Last updated
11/03/2015
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