Jack Ritchie

NPI #1154692572 in Stilwell, Oklahoma

Provider Information

NPI Number: 1154692572
Entity Type: Individual
Name: Jack Ritchie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 17, 2012
Last Updated: Jan 17, 2012

Practice Location

Address: RR 4 BOX 2270
City: Stilwell
State: Oklahoma
ZIP Code: 74960-9495
Phone: (918) 797-5478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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