Individual
JACOB CHARLES UNSICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA STUDENT
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3842
Mailing address
1729 S XANTHUS AVE, TULSA, OK 74104-5323
(405) 593-9244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4947
OK
Other
Enumeration date
08/12/2021
Last updated
02/20/2023
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