Organization
JTM PIVOT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY T MCLAUGHLIN PA-C (PRESIDENT)
(405) 315-8180
Entity
Organization
Contact information
Practice address
800 W 18TH ST STE 100, EDMOND, OK 73013-3759
(405) 315-8180
(405) 216-5724
Mailing address
1708 NW 39TH ST, OKLAHOMA CITY, OK 73118-2608
(405) 315-8180
(405) 216-5724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
09/24/2020
Last updated
09/27/2020
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