Individual
DR. JACK MILTON SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
2617 S ELM PL, BROKEN ARROW, OK 74012-7850
(918) 455-4511
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13816
OK
Other
Enumeration date
09/21/2006
Last updated
04/14/2020
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