Individual
JENNA GEOHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2403 W WRANGLER BLVD STE C, SEMINOLE, OK 74868-1900
(405) 716-3070
(405) 716-3069
Mailing address
2403 W WRANGLER BLVD STE C, SEMINOLE, OK 74868-1900
(405) 716-3070
(405) 716-3069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31539
OK
Other
Enumeration date
04/24/2015
Last updated
01/21/2019
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