Individual
JORDAN STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(417) 385-7976
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(417) 385-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020017267
MO
Other
Enumeration date
06/26/2020
Last updated
06/30/2023
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