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Anthony Ingram

NPI 1528424199 · on the registry since 2016 · sole proprietor

Practice

Address
20779 E 48th St S
Broken Arrow, OK 74014
Phone
(918) 271-0586

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2016-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma