Individual
JAMI LUANN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 E GARRIOTT RD STE B, ENID, OK 73701-6153
(580) 242-4300
(580) 242-4306
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 242-4300
(580) 242-4306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24348
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20165160A
—
OK
Enumeration date
01/24/2007
Last updated
07/15/2019
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