Individual
JOHN LEE PERONA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 744-3131
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 812-3948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25873
OK
207R00000X
Internal Medicine Physician
25873
OK
Other
Enumeration date
08/23/2007
Last updated
03/07/2011
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