Individual
JERRY S MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D L L C
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 436-3980
(580) 272-2708
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10006
OK
Other
Enumeration date
07/13/2005
Last updated
09/30/2011
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