Dr JASON L ELLEN OD is a male medical professional, specializing in Optometry. He graduated in 1999.
CREEK NATION HOSPITAL AND CLINICS
309 N 14TH ST
OKEMAH COMMUNITY CLINIC
OKEMAH
OK
748592028
Tel: 9186231424
| Npi | 1962405928 |
| Pac Id | 7214036821 |
| Professional Enrollment Id | I20070622000222 |
| Last Name | ELLEN |
| First Name | JASON |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | OD |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
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| Organization Legal Name | CREEK NATION HOSPITAL AND CLINICS |
| Group Practice Pac Id | 5698786226 |
| Number Of Group Practice Members | 135 |
| Line 1 Street Address | 309 N 14TH ST |
| Line 2 Street Address | OKEMAH COMMUNITY CLINIC |
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| City | OKEMAH |
| State | OK |
| Zip Code | 748592028 |
| Phone Number | 9186231424 |
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| Professional Accepts Medicare Assignment | Y |
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