Individual
DR. JERRY D. PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1205 W MAIN ST, COLLINSVILLE, OK 74021-3114
(918) 938-0040
(918) 938-0056
Mailing address
1205 W MAIN ST, COLLINSVILLE, OK 74021-3114
(918) 938-0040
(918) 938-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1872
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251820E
—
OK
01
—
OK700549
MEDICARE
OK
Enumeration date
06/10/2005
Last updated
02/12/2019
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