Individual provider · Type 1 NPI

Jennifer Alexis Gonzales, PA

Surgical Physician Assistant · Tulsa, OK

NPI number 1366404030 Active

Practice location

6802 S Olympia Ave, STE300
Tulsa, OK 74132-1823

Fax (918) 744-4246

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1152 (OK)

Surgical Physician Assistant: Definition to come...

31 other providers at this address

Other surgical physician assistant providers in Tulsa

See all in Tulsa →

About NPI 1366404030

Jennifer Alexis Gonzales, PA's National Provider Identifier is 1366404030, issued on Apr 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tulsa, OK. The record was last updated on Jul 13, 2007.