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NPI Code Detail

MEDICARE: DR. HARVEY CLARKE JENKINS JR. M.D.

MEDICARE:  DR. HARVEY CLARKE JENKINS JR. M.D.
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
1207X00000XOrthopaedic Surgery Physician21473OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5200043654OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137D1102406OTHEROKCLIA WAIVED LABORATORY ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3175793900OTHEROKDEPARTMENT OF LABOR
4731620950OTHEROKTAX ID #

General Provider Information

NPI Number : 1124060199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARVEY CLARKE JENKINS JR. M.D.
Provider Business Mailing Address
First Line : 8603 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-9200
Country : US
Telephone Number : 405-686-1700
Fax Number : 405-686-1555
Provider Business Practice Location Address
First Line : 8603 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-9200
Country : US
Telephone Number : 405-686-1700
Fax Number : 405-686-1555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 01/04/2012

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Directions to “ DR. HARVEY CLARKE JENKINS JR. M.D.” Practice Location

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