# JEANNE E HEYSER EASTERLY DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497827372
- **Authorized official:** MRS. JEANNE ELIZABETH HEYSER EASTERLY DO (OWNER)
- **Authorized official phone:** (918) 749-4668

## Contact information

- **Practice address:** 800 S JACKSON AVE, TULSA, OK 74127-9003
- **Practice address phone:** (918) 749-4668
- **Practice address fax:** (918) 749-4669
- **Mailing address:** PO BOX 21228, DEPT 94, TULSA, OK 74121-1228
- **Mailing address phone:** (918) 299-8232
- **Mailing address fax:** (918) 299-8233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 2417 | OK | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 02/22/2010