Individual
DR. JAYRONE GALERA CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2640 MINER RD, FORT SILL, OK 73503-4437
(580) 585-5600
Mailing address
5108 W GORE BLVD, SUITE 6, LAWTON, OK 73505-6025
(580) 353-5200
(580) 353-5201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3849
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232730304
MEDICARE PTAN
OK
Enumeration date
08/24/2007
Last updated
01/31/2024
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