Individual
MR. JESUS JR. RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
304 S PARK LN, ALTUS, OK 73521-5753
(580) 379-6500
(580) 379-6509
Mailing address
3121 WHITE TAIL DR, ALTUS, OK 73521-7812
(405) 696-9252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4847
OK
Other
Enumeration date
07/08/2022
Last updated
12/01/2022
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