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Individual

MR. JOHN MEDWIN TERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2428 AUTUMN RUN STE B, ARDMORE, OK 73401-2222
(580) 220-1164
Mailing address
2428 AUTUMN RUN STE B, ARDMORE, OK 73401-2222

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
About Stedi
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Product
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  • Eligibility checks
  • EDI platform