Most Relevant Information
Provider Data
| NPI Number: | 1003242132 |
| Provider Name: | PAUL JESSE MCDOWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2013 |
| Last Updated: | 09/20/2013 |
Provider Practice Location
13783 MARY ANN LN
KINGSTON
OK
734399155
Practice Location Phone/Fax
| Phone: | 5804674119 |
| Fax: | 5805647309 |
Provider Mailing Location
717B HIGHWAY 70 E
KINGSTON
OK
734398253
Provider Mailing Phone/Fax
| Phone: | 5805647308 |
| Fax: | 5805647309 |