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NPI Code Detail

MEDICARE: MADISON JARKA

MEDICARE:   MADISON  JARKA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750232997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON JARKA
Provider Business Mailing Address
First Line : 2730 NW 68TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-4712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3300 NW EXPWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4418
Country : US
Telephone Number : 405-949-3011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 03/03/2026

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Directions to “ MADISON JARKA ” Practice Location

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