Individual
SAMUEL T JORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
(918) 494-4573
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4590
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200977960A
—
OK
Enumeration date
01/07/2020
Last updated
01/08/2025
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