| Pete Jones Md Inc | |
|
529 E 36th St N Tulsa OK 74106 | |
| (918) 425-8600 | |
| (918) 425-3305 |
| Full Name | Pete Jones Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 529 E 36th St N, Tulsa, Oklahoma |
| Authorized Official Name and Position | Pete Jones (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9184258600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pete Jones Md Inc Po Box 703024 529 E 36th St N Tulsa OK 74106 Ph: (918) 425-8600 | Pete Jones Md Inc 529 E 36th St N Tulsa OK 74106 Ph: (918) 425-8600 |
| NPI Number | 1982872719 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 3577725563 |
|---|---|
| Medicare Enrollment ID | O20120509000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982872719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OKLAHOMA 18827 (Oklahoma) | Primary |
| Provider Name | Pete Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883804 PECOS PAC ID: 5496917494 Enrollment ID: I20120509000426 |
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