Provider Demographics
NPI:1023086188
Name:CURTIS, JANE L (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:L
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7018 WALNUT CRK
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-6317
Mailing Address - Country:US
Mailing Address - Phone:405-744-7017
Mailing Address - Fax:405-744-6556
Practice Address - Street 1:1202 W FARM RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74078-2000
Practice Address - Country:US
Practice Address - Phone:405-744-7024
Practice Address - Fax:405-744-6556
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK17125207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE73473Medicare UPIN