Individual
DR. JEANNE M EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717-B S UTICA, SUITE 200, TULSA, OK 74104
(918) 712-7900
(918) 712-9757
Mailing address
1717-B S UTICA, SUITE 200, TULSA, OK 74104
(918) 712-7900
(918) 712-9757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13708
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048960B
—
OK
Enumeration date
06/13/2006
Last updated
04/10/2014
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