Individual
DR. JACK HOWARD BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DPM
Contact information
Practice address
200 N MAIN ST STE D, SAND SPRINGS, OK 74063-7650
(918) 246-3456
(918) 246-3457
Mailing address
PO BOX 1147, SAND SPRINGS, OK 74063-1147
(918) 246-3456
(918) 246-3457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196490A
—
OK
Enumeration date
09/14/2005
Last updated
01/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us