Individual
DR. JENNIFER RAE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9659 RIVERSIDE PKWY, TULSA, OK 74137-7398
(189) 299-5040
(918) 299-9041
Mailing address
9659 RIVERSIDE PKWY, TULSA, OK 74137-7398
(918) 299-5040
(918) 299-9041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20296
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103220B
—
OK
Enumeration date
07/05/2006
Last updated
04/05/2023
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