Jacob Ryan Batterton

NPI #1164206249 in Owasso, Oklahoma

Provider Information

NPI Number: 1164206249
Entity Type: Individual
Name: Jacob Ryan Batterton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 21, 2023
Last Updated: Aug 21, 2023

Practice Location

Address: 9805 N 102ND EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-6686
Phone: (918) 852-6349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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