Individual provider · NPI-1

Jason Carl Drennan

Technician · Oklahoma City, OK

NPI number1356004147
StatusActive
Last updated in NPPESOct 19, 2021

Details

NPI
1356004147
Entity type
Individual (NPI-1)
Name
Jason Carl Drennan
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2021
Certification date
Oct 19, 2021
Last updated
Oct 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician–OKYes

Practice location

1501 Ne 11th St
Oklahoma City, OK 73117-2605

Phone 405-230-1158 · Fax 405-424-1198

Mailing address

1501 Ne 11th St
Oklahoma City, OK 73117-2605

Phone 405-230-1158 · Fax 405-424-1198

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