Individual provider · Type 1 NPI

Jeremy Eugene Widener, DO

Diagnostic Radiology Physician · Oklahoma City, OK

NPI number 1215557178 Active

Practice location

1000 N Lee Ave Rm 1980
Oklahoma City, OK 73102-1036

Fax (405) 231-3007

Mailing address

1200 Everett Dr
Oklahoma City, OK 73104-5047

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X0390R (OK)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1215557178

Jeremy Eugene Widener, DO's National Provider Identifier is 1215557178, issued on Apr 21, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Oklahoma City, OK. The record was last updated on May 17, 2021.