Individual
DR. JESSICA REY CHILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
5910
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200649470A
—
OK
Enumeration date
02/25/2010
Last updated
01/24/2017
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