Individual
DR. JERRY WAYNE FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7512 E 91ST ST, TULSA, OK 74133-6050
(918) 728-2000
(918) 728-2001
Mailing address
7512 E 91ST ST, TULSA, OK 74133-6050
(918) 728-2505
(918) 728-2001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3853
OK
Other
Enumeration date
08/25/2005
Last updated
11/21/2011
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