Organization
MJR ENTERPRISES LLC
Active
Organization
MJR ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA JEAN ROOT D.O. (OWNER)
(918) 260-8802
Entity
Organization
Contact information
Practice address
3800 W. 71ST, INVERNESS VILLAGE, TULSA, OK 74132
(918) 388-4254
Mailing address
58 ST ANDREWS CIR, BROKEN ARROW, OK 74011-1107
(918) 260-8802
(918) 252-0878
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2299
OK
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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