| Organization Name: | JEFF S. JENNINGS, DO, PLLC |
| NPI Number: | 1356332886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF S JENNINGS (OWNER) |
| Mailing Address: | 1200 W Cherokee St Wagoner |
| State: | OK US |
| Postal Code: | 744674624 |
| Phone Number: | 9184855514 |
| Fax Number: | 9184859701 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |