JEREMIAH RAY TITSWORTH MT-BC NPI 1205161064

NPI Information

Jeremiah Ray Titsworth, MT-BC is a specialist in Enid, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jeremiah Ray Titsworth, MT-BC NPI is 1205161064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

502 W RANDOLPH AVE
ENID, OK
ZIP 73701-828
Phone: (580) 234-8000

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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