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Jeremy Theisen, MD
Diagnostic Radiology Physician in Ponca City, Oklahoma
NPI 1881954501

Jeremy Theisen is a Diagnostic Radiology Physician based in Ponca City, OK and is specialized in Diagnostic Radiology. Jeremy Theisen practices in Ponca City, OK and has the professional credentials of MD. The NPI Number for Jeremy Theisen is 1881954501 and holds a License No. 29296 (Oklahoma).

The current practice location address for Jeremy Theisen is 1900 N 14Th St, Ponca City, OK and can be reached out via phone at 580-765-0575. You can also correspond with Jeremy Theisen through the mailing address at 1900 N 14TH ST, PONCA CITY, OK - 74601-2035 (mailing address contact number: 580-765-0575).

Location: 1900 N 14Th St, Ponca City, OK, 74601-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881954501
Provider Name
Jeremy Theisen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1900 N 14Th St, Ponca City, OK, 74601-2035
Phone Number
580-765-0575
Fax Number
Provider Enumeration Date
05/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 N 14Th St
City
Ponca City
State
Oklahoma
Zip
74601-2035
Phone Number
580-765-0575
Fax Number
person
Provider Business Mailing Address Details
Address
1900 N 14Th St
City
Ponca City
State
Oklahoma
Zip
74601-2035
Phone Number
580-765-0575
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD-23144 (Hawaii)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
29296 (Oklahoma)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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