person
Jennifer Robin Putnam, PA
Surgical Physician Assistant in Midwest City, Oklahoma
NPI 1366775611

Jennifer Robin Putnam is a Surgical Physician Assistant based in Oklahoma City, OK and is specialized in Surgical. Jennifer Robin Putnam practices in Midwest City, OK and has the professional credentials of PA. The NPI Number for Jennifer Robin Putnam is 1366775611 and holds a License No. 2115 (Oklahoma).

The current practice location address for Jennifer Robin Putnam is 1342 S Douglas Blvd, Midwest City, OK and can be reached out via phone at 405-455-3322 and via fax at 405-455-3358. You can also correspond with Jennifer Robin Putnam through the mailing address at 8 SW 89TH ST, OKLAHOMA CITY, OK - 73139-8534 (mailing address contact number: 405-455-3322).

Location: 1342 S Douglas Blvd, Midwest City, OK, 73139-8534
person
Provider Profile Details
NPI Number
1366775611
Provider Name
Jennifer Robin Putnam
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1342 S Douglas Blvd, Midwest City, OK, 73139-8534
Phone Number
405-455-3322
Fax Number
405-455-3358
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208362023 01 GROUP TAX-ID
institution
Provider Business Practice Location Address Details
Address
1342 S Douglas Blvd
City
State
Zip
73130-5215
Phone Number
405-455-3322
Fax Number
405-455-3358
person
Provider Business Mailing Address Details
Address
1342 S Douglas Blvd
City
State
Zip
73130-5215
Phone Number
405-455-3322
Fax Number
405-455-3358
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2115 (Oklahoma)
Definition
Definition to come...
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