Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 10164 | MD |
NPI | 1720051477 |
---|---|
Provider Name | Dr. Aaron R. Means SR. |
First Address | Pawnee, OK 74058 |
Second Address | Pawnee, OK 74058-4839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 14/11/2011 |