Individual
JAKE ALAN ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 599-4678
Mailing address
20774 E 1040 RD, CANUTE, OK 73626-3604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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