Jeri Clark Goen is a Medical in Tulsa, Oklahoma. Jeri Clark Goen practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeri Clark Goen is 1740355460. The last update date is 2020-03-25.
Jeri Clark Goen's current location address is 1612 S College Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9189020434. The mailing address for Jeri Clark Goen is 1612 S College Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri Clark Goen |
|---|---|
| Address | 1612 S College Ave, Tulsa, Oklahoma |
| Phone Number | 9189020434 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA - C |
NPI Number Detail
| NPI Number | 1740355460 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-03-25 |
Provider Mailing Address Detail
| Address | 1612 S College Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741045233 |
| Phone Number | 9189020434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 408 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Jeri Clark Goen by the Centers for Medicare & Medicaid Services?
The Jeri Clark Goen has been assigned the NPI (National Provider Identifier) 1740355460 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 Jeri Clark Goen?
The Jeri Clark Goen is physically situated at 1612 S College Ave, in the city of Tulsa, state of OK, with the postal code 741045233.
What is Jeri Clark Goen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeri Clark Goen is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When did Jeri Clark Goen receive its 1740355460 assignment?
The Jeri Clark Goen was assigned its 1740355460 on 2006-11-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jeri Clark Goen most recently updated or revised?
The information pertaining to Jeri Clark Goen, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-25.