Individual provider · Type 1 NPI
Elon Russell Jeffy, MD
Child & Adolescent Psychiatry Physician · Tulsa, OK
NPI number
1093934531
Active
Practice location
1811 S Baltimore Ave Ste 202
Tulsa, OK 74119-5215
Fax (918) 392-4741
Mailing address
2436 E 23rd St
Tulsa, OK 74114-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 218356 (MA) |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 218356 (MA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 26284 (OK) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1093934531
Elon Russell Jeffy, MD's National Provider Identifier is 1093934531, issued on Apr 24, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Tulsa, OK. The record was last updated on Feb 28, 2018.