NPI 1154764850
Tonya Rae Jury, IDC
Practice location
- Address
- 3001 S Douglas Blvd, Oklahoma City, OK 73150-1003
- Phone
- (405) 582-6654
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1154764850
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2013
- Record last updated
- 10 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.