Organization
DR. JERRY A. NELMS D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY COINE (PRACTICE MANAGER)
(918) 486-5564
Entity
Organization
Contact information
Practice address
607 S BROADWAY, COWETA, OK 74429-5000
(918) 486-5564
(918) 486-3284
Mailing address
607 S BROADWAY, COWETA, OK 74429-5000
(918) 486-5564
(918) 486-3284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1403
OK
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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