Individual provider · Type 1 NPI

Jeri Clark Goen, PA - C

Medical Physician Assistant · Tulsa, OK

NPI number 1740355460 Active

Practice location

3807 S Peoria Ave, Suite G And H
Tulsa, OK 74105-3145

Call (918) 359-7845 Map

Fax (918) 359-7849

Mailing address

1612 S College Ave
Tulsa, OK 74104-5233

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X408 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1740355460

Jeri Clark Goen, PA - C's National Provider Identifier is 1740355460, issued on Nov 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Mar 25, 2020.