JERRY D COCKERELL

KINGSTON, OK
NPI1093009920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OK  2853)
Enumeration Date2011-06-08
Last Update Date2011-06-08
Business Address
-- JERRY D COCKERELL DO
HC 72 BOX 329
KINGSTON, OK 73439-8521
Phone number: 580-564-2446
Mailing Address
-- JERRY D COCKERELL DO
HC 72 BOX 329
KINGSTON, OK 73439-8521
Phone number: 580-564-2446