JEREMY SCOTT FULLINGIM

TULSA, OK
NPI1255537304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: OK  4186)
Enumeration Date2007-06-25
Last Update Date2012-06-13
Business Address
-- JEREMY SCOTT FULLINGIM D.O.
4500 S GARNETT RD
TULSA, OK 74146-5229
Phone number: 918-599-5031
Mailing Address
-- JEREMY SCOTT FULLINGIM D.O.
12029 S 14TH CT
JENKS, OK 74037-4954
Phone number: 918-269-3359
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