Individual
MR. JERRY T MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3110 SW 89TH ST, SUITE 200E, OKLAHOMA CITY, OK 73159-7920
(405) 733-7300
(405) 733-7333
Mailing address
3110 SW 89TH ST STE 200E, OKLAHOMA CITY, OK 73159-7919
(405) 733-7300
(405) 733-7333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
750
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126440A
—
OK
Enumeration date
02/01/2006
Last updated
08/01/2013
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