Individual
DR. JENNIFER C. SCOUFOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
555 W RUTH AVE, SALLISAW, OK 74955-6867
(918) 774-0147
(918) 774-0286
Mailing address
555 W RUTH AVE, SALLISAW, OK 74955-6867
(918) 774-0147
(918) 774-0286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3917
OK
Other
Enumeration date
08/20/2006
Last updated
09/06/2011
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