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1033107255

NPI Code Detail

MEDICARE: JEFFREY ALAN PERRY MD

MEDICARE: JEFFREY ALAN PERRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	40581	CO
2	207Q00000X	Family Medicine Physician	214747	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080188452	OTHER		TRAVELERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	840706945126	OTHER	CO	ROCKY MOUNTAIN HEALTH PLA
4	PE657662	OTHER	CO	ANTHEM BCBS

General Provider Information

NPI Number	:	1033107255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY ALAN PERRY MD

Provider Business Mailing Address
First Line	:	7501 RIVERSIDE PKWY
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-5056
Country	:	US
Telephone Number	:	918-710-4200
Fax Number	:	918-403-6331

Provider Business Practice Location Address
First Line	:	7501 RIVERSIDE PKWY
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-5056
Country	:	US
Telephone Number	:	918-710-4200
Fax Number	:	918-403-6331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	08/25/2025

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Directions to “ JEFFREY ALAN PERRY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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