Healthcare Provider Details

I. General information

NPI: 1518938158
Provider Name (Legal Business Name): JENNIFER J. GALBRAITH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER J EISCHEN D.O.

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 W 9TH ST
TULSA OK
74127-9020
US

IV. Provider business mailing address

9301 S WESTERN AVE
OKLAHOMA CITY OK
73139-2728
US

V. Phone/Fax

Practice location:
  • Phone: 918-599-1000
  • Fax:
Mailing address:
  • Phone: 866-321-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number4069
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: