Billy Jack Premo is a Certified Registered Nurse Anesthetist based in Midwest City, OK. Billy Jack Premo practices in Midwest City, OK and has the professional credentials of CRNA. The NPI Number for Billy Jack Premo is 1003839911 and holds a License No. R0025846 (Oklahoma).
The current practice location address for Billy Jack Premo is 2825 Parklawn Dr, Midwest City, OK and can be reached out via phone at 405-360-7576.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430001523 | 01 | OK | MEDICARE PIN |
| 731189454001 | 01 | OK | BCBS |
| 100781950A | 05 | OK |
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