Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 18629 | OK |
NPI | 1376524561 |
---|---|
Provider Name | Dr. Jane T Purser |
First Address | Tulsa, OK 74133-5702 |
Second Address | Tulsa, OK 74133-5702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 14/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56374 | (02) | OK |