Individual
JASON THOMAS JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-45153
KS
208M00000X
Hospitalist Physician
Primary
37054
OK
Other
Enumeration date
05/02/2018
Last updated
04/02/2025
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