Jayson D Avenmarg MD

NPI 1093711053 - Surgery - 208600000X

NPI Details
NPI 1093711053
Gender Male
Enumeration Date 06/23/2005
Last Updated 03/16/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
POTEAU OK, 74953, US
Phone (918) 647-8635
Fax (918) 635-3191
Business Location
PO BOX 689
POTEAU OK, 74953, US
Phone (918) 647-8635
Fax (918) 635-3191
Taxonomy Code 208600000X
License State California
License Number A65237
Remove 1093711053 NPI Number

According to our database, Dr. Jayson D Avenmarg MD NPI is 1093711053, taxonomy code is 208600000X and license number is A65237, license state is located at California. Jayson D Avenmarg MD physically located at 104 Wall Street, Poteau OK, 74953. NPI Number Jayson D Avenmarg MD has the Individual type.

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1093711053 NPI number is provided on an as is basis without warranty of any kind. 1093711053 is maintained by the National Plan & Provider Enumeration System. The contents of Jayson D Avenmarg MD are for informational purposes only.