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NPI Code Detail

MEDICARE: PETE JONES MD MSPH

MEDICARE: PETE JONES MD MSPH
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
1207Q00000XFamily Medicine Physician18827OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407883804
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETE JONES MD MSPH
Provider Business Mailing Address
First Line : PO BOX 703024
Second Line :
City : TULSA
State : OK
Zip : 74170-3024
Country : US
Telephone Number : 918-425-8600
Fax Number : 918-425-3305
Provider Business Practice Location Address
First Line : 529 E 36TH ST N
Second Line :
City : TULSA
State : OK
Zip : 74106-1812
Country : US
Telephone Number : 918-425-8600
Fax Number : 918-425-3305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/03/2011

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Directions to “ PETE JONES MD MSPH” Practice Location

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