Individual
JARED R COLVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59355
MN
207QS1201X
Sleep Medicine (Family Medicine) Physician
21649
NH
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
7867
OK
Other
Enumeration date
05/26/2014
Last updated
06/16/2024
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