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Individual

JEFFREY V. GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 972-7567
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
26201
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
26201
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200199910A
OK
Enumeration date
06/25/2007
Last updated
06/06/2022
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