JIMMIE MACK SHORT

TULSA, OK
NPI1811959026
Professional NameJAMES MACK SHORT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  D01150)
Enumeration Date2006-04-04
Last Update Date2007-07-08
Business Address
Dr. JIMMIE MACK SHORT DO
8523 E 11TH ST STE A
TULSA, OK 74112
Phone number: 918-835-6466
Mailing Address
Dr. JIMMIE MACK SHORT DO
8523 E 11TH ST STE A
TULSA, OK 74112
Phone number: 918-835-6466