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NPI Code Detail

MEDICARE: BREANNA JACOBITZ DO

MEDICARE:   BREANNA  JACOBITZ  DO
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
1207P00000XEmergency Medicine Physician9166OK

General Provider Information

NPI Number : 1083339956
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA JACOBITZ DO
Provider Business Mailing Address
First Line : PO BOX 1308
Second Line :
City : NORMAN
State : OK
Zip : 73070-1308
Country : US
Telephone Number : 405-307-1090
Fax Number : 405-307-1076
Provider Business Practice Location Address
First Line : 3300 HEALTHPLEX PKWY
Second Line :
City : NORMAN
State : OK
Zip : 73072-9749
Country : US
Telephone Number : 405-307-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2022
Last Update Date : 01/08/2026

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Directions to “ BREANNA JACOBITZ DO” Practice Location

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