Organization
LTAC ASSOCIATES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MARTIN (CHIEF OPERATING OFFICER)
(405) 557-1200
Entity
Organization
Contact information
Practice address
3801 N CLASSEN BLVD, SUITE 100, OKLAHOMA CITY, OK 73118-2871
(405) 557-1200
(405) 557-1977
Mailing address
3801 N CLASSEN BLVD, SUITE 100, OKLAHOMA CITY, OK 73118-2871
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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