Individual
JENNIFER ALEXIS GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6802 S OLYMPIA AVE, STE300, TULSA, OK 74132-1823
(918) 749-0762
(918) 744-4246
Mailing address
6802 S OLYMPIA AVE, STE300, TULSA, OK 74132-1823
(918) 749-0762
(918) 744-4246
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1152
OK
Other
Enumeration date
04/06/2006
Last updated
07/13/2007
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