| Jenks Health Team, Llc | |
|
715 W Main St Suite S Jenks OK 74037-3554 | |
| (918) 299-9447 | |
| (918) 299-5325 |
| Full Name | Jenks Health Team, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 715 W Main St, Jenks, Oklahoma |
| Authorized Official Name and Position | Gerald D Wootan (OWNER) |
| Authorized Official Contact | 9182999447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenks Health Team, Llc 715 W Main St Suite S Jenks OK 74037-3554 Ph: (918) 299-9447 | Jenks Health Team, Llc 715 W Main St Suite S Jenks OK 74037-3554 Ph: (918) 299-9447 |
| NPI Number | 1891982625 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891982625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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