Individual
TAMUNOSISI E LEGG-JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 333-7200
Mailing address
6309 WINFIELD DR, OKLAHOMA CITY, OK 73162-1718
(405) 603-4670
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
23135
OK
207R00000X
Internal Medicine Physician
23135
OK
Other
Enumeration date
05/15/2006
Last updated
09/11/2025
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