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NPI Profile for DR. SAMUEL S JELLISON in TULSA, OK.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Neuroradiology |
2085N0700X |
| NPI # | 1891371373 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 03/23/2021 | |
| Last updated | 05/22/2026 - About 3 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMUEL S JELLISON
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SAMUEL S JELLISON, DO