Ian Jon Despain, ST

NPI #1124245469 in Tulsa, Oklahoma

Provider Information

NPI Number
1124245469
Entity Type
Individual
Name
Ian Jon Despain, ST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Technologist
Credential
ST
Enumeration Date
Apr 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1809 E 13TH ST STE 400
City
Tulsa
ZIP Code
74104-4431
Phone
(918) 599-8200

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical TechnologistSurgical Technologist

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