IndividualActive
Tonya Jury, IDC
NPI 1154764850 · Independent Duty Corpsman · Oklahoma City, OK
Provider details
- NPI number
- 1154764850
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3001 S Douglas Blvd
Oklahoma City, OK 73150-1003
Phone: (405) 582-6654
Approximate (ZIP-level) locationGet directions
Mailing address
3001 S Douglas Blvd
Oklahoma City, OK 73150-1003
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2015-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.