Individual
MR. JACOB WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5369 S IRVINGTON AVE, TULSA, OK 74135-7524
(918) 557-9205
Mailing address
5369 S IRVINGTON AVE, TULSA, OK 74135-7524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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