Jonathan Prewitt, PA-C

NPI #1083278741 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1083278741
Entity Type: Individual
Name: Jonathan Prewitt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 29, 2019
Last Updated: Nov 14, 2019

Practice Location

Address: 7301 SW 44TH ST STE A
City: Oklahoma City
State: Oklahoma
ZIP Code: 73179-4309
Phone: (405) 357-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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