Individual
JILL S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 6100, OKLAHOMA CITY, OK 73104-4600
(405) 271-6827
(405) 271-4418
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18478
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100822490D
—
OK
01
—
731069169030
BCBS
OK
Enumeration date
03/14/2006
Last updated
01/19/2011
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