Individual
JEREMY DALE CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 259-2939
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 259-2939
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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