Individual
DR. JERRY PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 NW 13TH ST, OKLAHOMA CITY, OK 73106-6827
(405) 943-0303
Mailing address
820 NW 13TH ST, OKLAHOMA CITY, OK 73106-6827
(405) 943-0303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28008
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100765
—
LA
Enumeration date
06/06/2008
Last updated
09/22/2014
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