Jenks Health Team, LLC

NPI #1891982625 in Jenks, Oklahoma

Provider Information

NPI Number: 1891982625
Entity Type: Organization
Organization Name: Jenks Health Team, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 25, 2007
Last Updated: Sep 25, 2007

Practice Location

Address: 715 W MAIN ST
Address 2: SUITE S
City: Jenks
State: Oklahoma
ZIP Code: 74037-3554
Phone: (918) 299-9447

Authorized Official

Name: DR. GERALD D WOOTAN, D.O.
Title: OWNER
Phone: (918) 299-9447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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