Organization
HEADACHE SPECIALISTS OF OKLAHOMA PLLC
Active
Organization
HEADACHE SPECIALISTS OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN R DUVALL MD (PHYSICIAN)
(918) 574-8725
Entity
Organization
Contact information
Practice address
1516 S YORKTOWN PL, TULSA, OK 74104-4918
(918) 574-8725
(918) 574-8861
Mailing address
1516 S YORKTOWN PL, TULSA, OK 74104-4918
(918) 574-8725
(918) 574-8861
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444390B
—
OK
Enumeration date
08/09/2022
Last updated
05/16/2024
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