Individual
JEFFREY RYAN MASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 638-0116
Mailing address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 638-0116
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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