Individual
DR. JERRY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 S 4TH ST, CLINTON, OK 73601-2309
(580) 331-2221
Mailing address
1701 S 4TH ST, CLINTON, OK 73601-2309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29256
OK
Other
Enumeration date
04/14/2007
Last updated
07/25/2014
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