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Individual

DR. ELON RUSSELL JEFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1811 S BALTIMORE AVE STE 202, TULSA, OK 74119-5215
(918) 644-0141
(918) 392-4741
Mailing address
2436 E 23RD ST, TULSA, OK 74114-3115

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
218356
MA
2084P0804X
Child & Adolescent Psychiatry Physician
218356
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
26284
OK

Other

Enumeration date
04/24/2007
Last updated
02/28/2018
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