Individual
JENNY J ALEXOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5310 E 31ST ST FL 11, TULSA, OK 74135-5018
(918) 584-5364
Mailing address
802 S JACKSON AVE STE 420, TULSA, OK 74127-9059
(918) 584-5364
(918) 584-5394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3015
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182520D
—
OK
Enumeration date
03/09/2006
Last updated
01/14/2022
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