Jack Stephen Aldridge in Tulsa - Family Medicine

Jack Stephen Aldridge - NPI 1700878378

Jack Stephen Aldridge is a Family Medicine in Tulsa, Oklahoma. Jack Stephen Aldridge practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Stephen Aldridge is 1700878378. The last update date is 2015-07-31.

Jack Stephen Aldridge's current location address is 6600 S Yale Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9184886001 and fax number 9184886010. The mailing address for Jack Stephen Aldridge is 6600 S Yale Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Stephen Aldridge
Address 6600 S Yale Ave, Tulsa, Oklahoma
Phone Number 9184886001
Fax Number 9184886010
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1700878378
Provider Enumeration Date 2005-08-18
Last Updated Date 2015-07-31

Provider Mailing Address Detail

Address 6600 S Yale Ave
City Tulsa
State Oklahoma (OK)
Post Code 741363347
Phone Number 9184886001
Fax Number 9184886010

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OK2679
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100099700A OK --
500522075 OK MEDICARE GROUP PIN

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FAQs about Jack Stephen Aldridge

What is the Jack Stephen Aldridge's unique identification number?

The Jack Stephen Aldridge has been assigned the NPI (National Provider Identifier) Number 1700878378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Jack Stephen Aldridge is located?

The Jack Stephen Aldridge is situated at the following address: 6600 S Yale Ave, Tulsa, OK, 741363347.

What is the Jack Stephen Aldridge's specialty and taxonomy code?

The Jack Stephen Aldridge's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When did Jack Stephen Aldridge receive its 1700878378 assignment?

The Jack Stephen Aldridge was assigned its 1700878378 on 2005-08-18, which is the date when this unique identifier was issued to the organization.

As of what date were the Jack Stephen Aldridge's details last updated?

The information pertaining to the Jack Stephen Aldridge, including its address, specialty, and other details, was most recently updated on 2015-07-31.

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