person
Dr. Samuel Spencer Jellison, DO
Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma
NPI 1891371373

Samuel Spencer Jellison is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Samuel Spencer Jellison practices in Tulsa, OK and has the professional credentials of DO. The NPI Number for Samuel Spencer Jellison is 1891371373 and holds a License No. (Oklahoma).

The current practice location address for Samuel Spencer Jellison is 717 S Houston Ave Fl 3, Tulsa, OK and can be reached out via phone at 918-382-3535 and via fax at 918-382-3559.

Location: 717 S Houston Ave Fl 3, Tulsa, OK, 74127-9023
person
Provider Profile Details
NPI Number
1891371373
Provider Name
Samuel Spencer Jellison
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
717 S Houston Ave Fl 3, Tulsa, OK, 74127-9023
Phone Number
918-382-3535
Fax Number
918-382-3559
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
717 S Houston Ave Fl 3
City
State
Zip
74127-9023
Phone Number
918-382-3535
Fax Number
918-382-3559
person
Provider Business Mailing Address Details
Address
717 S Houston Ave Fl 3
City
State
Zip
74127-9023
Phone Number
918-382-3535
Fax Number
918-382-3559
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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