Individual
JESSE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 NW EXPRESSWAY, SUITE 200, OKLAHOMA CITY, OK 73112-4493
(405) 713-9900
(405) 713-9920
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-9900
(405) 713-9920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1972
OK
Other
Enumeration date
01/14/2011
Last updated
02/18/2015
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