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NPI Code Detail

MEDICARE: JEREMY SALAS M.D.

MEDICARE: JEREMY SALAS 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
12084N0400XNeurology Physician24094OK

General Provider Information

NPI Number : 1447447487
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY SALAS M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6565 S YALE AVE STE 209
Second Line :
City : TULSA
State : OK
Zip : 74136-8303
Country : US
Telephone Number : 918-488-0990
Fax Number : 918-728-8007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 11/04/2025

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Directions to “ JEREMY SALAS M.D.” Practice Location

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