Jerry Hanson Puckett in Tulsa - Otolaryngology
Jerry Hanson Puckett - NPI 1366441115
Jerry Hanson Puckett is a Otolaryngology in Tulsa, Oklahoma. Jerry Hanson Puckett practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jerry Hanson Puckett is 1366441115. The last update date is 2018-04-13.
Jerry Hanson Puckett's current location address is 6475 S Yale Ave Ste 401, Tulsa, Oklahoma. You can contact this provider via phone number 9185029555 and fax number 9185029559. The mailing address for Jerry Hanson Puckett is 6475 S Yale Ave Ste 401, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Hanson Puckett |
|---|---|
| Address | 6475 S Yale Ave Ste 401, Tulsa, Oklahoma |
| Phone Number | 9185029555 |
| Fax Number | 9185029559 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366441115 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2018-04-13 |
Provider Mailing Address Detail
| Address | 6475 S Yale Ave Ste 401 |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 7413678180 |
| Phone Number | 9185029555 |
| Fax Number | 9185029559 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 12175 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100078700A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry Hanson Puckett by the Centers for Medicare & Medicaid Services?
The Jerry Hanson Puckett has been assigned the NPI (National Provider Identifier) 1366441115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jerry Hanson Puckett?
The Jerry Hanson Puckett is physically situated at 6475 S Yale Ave Ste 401, in the city of Tulsa, state of OK, with the postal code 7413678180.
What is Jerry Hanson Puckett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Hanson Puckett is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
On what date did the Jerry Hanson Puckett receive its 1366441115 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Hanson Puckett was assigned its 1366441115 by the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information related to Jerry Hanson Puckett most recently updated or refreshed?
The details pertaining to the Jerry Hanson Puckett, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-04-13.