Individual
STEPHEN ANDREW JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2076
OK
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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