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Individual

JESSE RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4152
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 660-3444

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6889
OK
207R00000X
Internal Medicine Physician
94-08915
KS
207RB0002X
Obesity Medicine (Internal Medicine) Physician
6889
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200929610A
OK
Enumeration date
05/17/2016
Last updated
11/19/2024
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