MICHAEL JEROME ITEN

TULSA, OK
NPI1851359947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  2274)
Enumeration Date2006-05-01
Last Update Date2024-05-03
Business Address
Mr. MICHAEL JEROME ITEN P.A.
6160 S YALE AVE
TULSA, OK 74136-1930
Phone number: 918-495-2600
Mailing Address
Mr. MICHAEL JEROME ITEN P.A.
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: 888-247-0125