Individual
JEROME M DILLING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 N VAN BUREN ST, SUITE 500, ENID, OK 73703-1812
(580) 977-1907
(580) 234-5161
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 977-1907
(580) 234-5161
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100824500A
—
OK
01
—
P01318486
RR MEDICARE
OK
Enumeration date
03/16/2006
Last updated
02/09/2018
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