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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONG JACKET PLLC

Active Organization

LONG JACKET PLLC is a Family Medicine organization located in ELK CITY, Oklahoma. NPI 1881187805 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ELK CITY, OK

Registration Details

NPI Number
1881187805
Provider Type
Organization
NPI Issued
Jun 13, 2018 (8.163723542567 yrs)
Last Updated
Jun 13, 2018
License
31501 (OK)

Practice Information

Address
1710 W 3RD ST STE 102
ELK CITY, OK, 736445160
Browse OK providers · Browse ZIP 73644
Phone
5802439122
Fax
5802255423
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in ELK CITY, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.