Organization
JEANNE E HEYSER EASTERLY DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE ELIZABETH HEYSER EASTERLY DO (OWNER)
(918) 749-4668
Entity
Organization
Contact information
Practice address
800 S JACKSON AVE, TULSA, OK 74127-9003
(918) 749-4668
(918) 749-4669
Mailing address
PO BOX 21228, DEPT 94, TULSA, OK 74121-1228
(918) 299-8232
(918) 299-8233
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2417
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200014570A
—
OK
Enumeration date
11/15/2006
Last updated
02/22/2010
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