Individual
JERRY BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-7422
(405) 271-7472
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-7422
(405) 271-7472
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
110937
OK
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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