Individual
DR. JENNIFER LYNN O'STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 S UTICA AVE, 2ND FLOOR, TULSA, OK 74104-4214
(918) 579-3850
(918) 579-3859
Mailing address
1245 S UTICA AVE, 2ND FLOOR, TULSA, OK 74104-4214
(918) 579-3850
(918) 579-3859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24940
OK
207RX0202X
Medical Oncology Physician
Primary
24940
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525560A
—
OK
Enumeration date
02/23/2007
Last updated
01/12/2016
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