Jeanie Staub's National Provider Identifier (NPI) Details
Jeanie Staub, L.P.C.
NPI: 1568600245
Enumeration Date: 2009-02-03
Last updated: 2009-02-03
Sole Proprietor: YES
Status: active
Postal Address: 10632 S MEMORIAL #120, TULSA, OK
Phone: 479-422-2190
Primary Practice Address: 1175 S ASPEN, BROKEN ARROW, OK
Practice's phone: 479-422-2190