Individual
JARED PEMBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 NW EXPRESSWAY STE 500, OKLAHOMA CITY, OK 73112-4492
(405) 945-4589
(405) 945-4381
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 945-4589
(405) 945-4381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32214
OK
Other
Enumeration date
04/05/2016
Last updated
04/12/2021
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