Jett Surgical Practice PC
NPI #1306111398 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1306111398
- Entity Type
- Organization
- Organization Name
- Jett Surgical Practice PC
- Primary Specialty
- Surgery
- Enumeration Date
- Mar 9, 2012
- Last Updated
- Mar 9, 2012
Practice Location
- Address
- 3330 NW 56TH ST
- Address 2
- STE 616
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-4479
- Phone
- (405) 605-6880
Authorized Official
- Name
- DR. MASON PECK JETT, MD
- Title
- PRESIDENT
- Phone
- (405) 605-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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