Individual
MARVIN Y JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 492-7722
(918) 357-5859
Mailing address
PO BOX 140088, BROKEN ARROW, OK 74014-0088
(918) 492-7722
(918) 357-5859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10968
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062150A
—
OK
Enumeration date
06/05/2006
Last updated
09/02/2009
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