Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Manquen

Individual provider Pediatrics Physician · NPI 1801424346

Jack Manquen is a Pediatrics Physician in Tulsa, Oklahoma. Licensed in Arizona and Oklahoma. Registered with an NPI since 2020.

Licensed in
AZ, OK
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1724 S Harvard Ave
Tulsa, OK 74112-6826
Phone: (405) 730-6990
Fax: (405) 730-6992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 7329 (OK)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 010269 (AZ)

Record details

NPI number1801424346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address1706 S Cedar Ave, Broken Arrow, OK 74012-6407

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