Individual
JERRY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6258
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6258
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
M0045729
OK
Other
Enumeration date
05/05/2006
Last updated
03/11/2025
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