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Individual

DR. JAMES ALLEN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
300 CREEK PL, OKMULGEE, OK 74447-6730
(918) 756-0316
(918) 756-2022
Mailing address
PO BOX 520, 300 CREEK PLACE, OKMULGEE, OK 74447-0520
(918) 756-0316
(918) 756-2022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2113
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100762200A
OK
Enumeration date
07/31/2006
Last updated
11/29/2010
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