Individual
DALLAS ESSARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W LOCUST ST, STILWELL, OK 74960-3259
(918) 696-7276
Mailing address
1801 W LOCUST ST, STILWELL, OK 74960-3259
(918) 696-7276
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100688200A
—
OK
Enumeration date
03/09/2016
Last updated
03/09/2016
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