Individual
DR. CHRISTINA M. JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 BROADWAY, DAVENPORT, OK 74026
(918) 377-2239
(918) 377-2236
Mailing address
PO BOX 654, DAVENPORT, OK 74026-0654
(918) 377-2239
(918) 377-2236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30137
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076460A
—
OK
05
—
102241001
—
AR
Enumeration date
04/26/2006
Last updated
09/20/2013
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