Individual
JEFF LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2413 NW 21ST ST, OKLAHOMA CITY, OK 73107-3221
(405) 885-9498
Mailing address
2413 NW 21ST ST, OKLAHOMA CITY, OK 73107-3221
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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