Organization
PREMIER TELEMEDICINE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JENKINS MD (MANAGER)
(208) 521-5150
Entity
Organization
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-8066
Mailing address
20 E 5TH ST STE 620, TULSA, OK 74103-4441
(918) 543-5150
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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