Organization
PRIME PHYSICIAN STAFFING 2 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JENKINS DO (OWNER/MANAGER)
(918) 543-5150
Entity
Organization
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-6941
Mailing address
20 E 5TH ST STE 620, TULSA, OK 74103-4441
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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