Individual
LOUIS GUERRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 E 15TH ST STE 400A, EDMOND, OK 73013-6673
(405) 341-1697
Mailing address
2104 BENT TWIG RD, EDMOND, OK 73013-6665
(808) 226-3074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3150
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
12/18/2019
Last updated
03/24/2021
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