Ian Jon Despain ST

NPI 1124245469 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1124245469
Gender Male
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1809 E 13TH ST STE 400
TULSA OK, 74104-4431, US
Phone (918) 599-8200
Business Location
11911 E 20TH ST
TULSA OK, 74128-6419, US
Taxonomy Code 246ZS0410X
License State
License Number
Remove 1124245469 NPI Number

According to our database, Ian Jon Despain ST NPI is 1124245469, taxonomy code is 246ZS0410X Ian Jon Despain ST physically located at 1809 E 13th St Ste 400, Tulsa OK, 74104-4431. NPI Number Ian Jon Despain ST has the Individual type.

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1124245469 NPI number is provided on an as is basis without warranty of any kind. 1124245469 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Jon Despain ST are for informational purposes only.