Individual
PETE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSPH
Contact information
Practice address
529 E 36TH ST N, TULSA, OK 74106-1812
(918) 425-8600
(918) 425-3305
Mailing address
PO BOX 703024, TULSA, OK 74170-3024
(918) 425-8600
(918) 425-3305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18827
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154200B
—
OK
Enumeration date
06/28/2006
Last updated
02/03/2011
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