Individual
JENIL BAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1705 E 19TH ST STE 703, TULSA, OK 74104-5418
(918) 382-3178
Mailing address
1705 E 19TH ST STE 703, TULSA, OK 74104-5418
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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