Individual
JUSTIN HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 N LEE AVE, 4TH FLOOR, OKLAHOMA CITY, OK 73102-1036
(405) 272-7699
(405) 272-6662
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2158
OK
Other
Enumeration date
09/03/2008
Last updated
10/21/2020
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