| Hetlevia R Jensen Md Pllc | |
|
1710 W 3rd St Suite 103a Elk City OK 73644-5159 | |
| (580) 225-2269 | |
| (580) 225-1504 |
| Full Name | Hetlevia R Jensen Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1710 W 3rd St, Elk City, Oklahoma |
| Authorized Official Name and Position | Hetlevia R Jensen (PHYSICIAN OWNER) |
| Authorized Official Contact | 5802252269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hetlevia R Jensen Md Pllc 1710 W 3rd St Suite 103a Elk City OK 73644-5159 Ph: (580) 225-2269 | Hetlevia R Jensen Md Pllc 1710 W 3rd St Suite 103a Elk City OK 73644-5159 Ph: (580) 225-2269 |
| NPI Number | 1710107529 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710107529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23895 (Oklahoma) | Primary |
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