Individual
DR. JACK BRYON TEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7585
(918) 403-6352
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33989
OK
Other
Enumeration date
06/05/2017
Last updated
09/27/2021
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