Individual
DR. JONATHAN D FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S GARNETT RD, STE 919, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521
Mailing address
4500 S GARNETT RD, STE 919, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12707
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105450A
—
OK
01
—
4055199
AETNA
OK
01
—
721545605-001
BCBS
OK
Enumeration date
09/13/2005
Last updated
12/04/2007
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