Individual
JEFFREY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 660-3132
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3511
(918) 660-3517
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
34731
OK
2084P0800X
Psychiatry Physician
34731
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929200B
—
OK
Enumeration date
03/25/2019
Last updated
08/02/2024
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