Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 21706 | OK |
N | 111NI0900X | Internist | 21706 | OK |
Y | 207RH0002X | Hospice and Palliative Medicine | 21706 | OK |
NPI | 1356311757 |
---|---|
Provider Name | Jeffrey Scott Alderman |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74135-2527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 20/08/2007 |