Individual
MR. JERRY EARL JOERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15151 E. HWY 39, LEXINGTON, OK 73051
(405) 527-5676
Mailing address
14613 FOSSIL CREEK LN, OKLAHOMA CITY, OK 73134-1838
(405) 752-0672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
243
OK
Other
Enumeration date
01/09/2012
Last updated
11/06/2017
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