Provider Demographics
NPI:1164734794
Name:PARGETER, JASON W
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:W
Last Name:PARGETER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7741 W HEFNER RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4304
Mailing Address - Country:US
Mailing Address - Phone:405-603-4188
Mailing Address - Fax:405-603-4277
Practice Address - Street 1:7741 W HEFNER RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4304
Practice Address - Country:US
Practice Address - Phone:405-603-4188
Practice Address - Fax:405-603-4277
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3972111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor