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NPI Code Detail

MEDICARE: DR. RANDALL WAYNE JARMAN PHD

MEDICARE: DR. RANDALL WAYNE JARMAN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist647OK

General Provider Information

NPI Number : 1376511964
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL WAYNE JARMAN PHD
Provider Business Mailing Address
First Line : 10707 E 97TH PL N
Second Line :
City : OWASSO
State : OK
Zip : 74055-4345
Country : US
Telephone Number : 918-272-1570
Fax Number :
Provider Business Practice Location Address
First Line : 5525 E 51ST ST
Second Line : SUITE #400
City : TULSA
State : OK
Zip : 74135-7461
Country : US
Telephone Number : 918-712-0859
Fax Number : 918-293-1031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 01/22/2014

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Directions to “ DR. RANDALL WAYNE JARMAN PHD” Practice Location

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