Individual
SUSAN J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1202 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-7822
(405) 665-2424
(405) 665-2466
Mailing address
1202 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-7822
(405) 665-2424
(405) 665-2466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2341
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124310A
—
OK
Enumeration date
02/27/2006
Last updated
06/30/2011
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