Individual
MARVIN JOSEPH REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
171 W LILY LN, EDMOND, OK 73025-1020
(405) 706-1751
Mailing address
171 W LILY LN, EDMOND, OK 73025-1020
(405) 706-1751
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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