Provider Demographics
NPI:1174810477
Name:JARVIS, THOMAS ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALAN
Last Name:JARVIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4805 E HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:TUTTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73089-8791
Mailing Address - Country:US
Mailing Address - Phone:405-381-2301
Mailing Address - Fax:405-381-3592
Practice Address - Street 1:4805 E HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:TUTTLE
Practice Address - State:OK
Practice Address - Zip Code:73089-8791
Practice Address - Country:US
Practice Address - Phone:405-381-2301
Practice Address - Fax:405-381-3592
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2022-08-17
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Provider Licenses
StateLicense IDTaxonomies
OK5092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine