JORDAN WAYNE EIPP

TULSA, OK
NPI1770134207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4539)
Enumeration Date2019-09-25
Last Update Date2021-02-22
Business Address
JORDAN WAYNE EIPP PA-C
4912 S DETROIT AVE
TULSA, OK 74105-4610
Phone number: 918-346-7878
Mailing Address
JORDAN WAYNE EIPP PA-C
4912 S DETROIT AVE
TULSA, OK 74105-4610
Phone number: 918-346-7878
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