JERRY JAY COLE

WAGONER, OK
NPI1720192388
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OK  3922)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: MO  30805)
207X00000X Orthopaedic Surgery
(Licence: FL  OS7100)
207X00000X Orthopaedic Surgery
(Licence: ME  845)
Enumeration Date2006-08-19
Last Update Date2018-01-22
Business Address
-- JERRY JAY COLE do
1200 W CHEROKEE ST
WAGONER, OK 74467-4624
Phone number: 918-485-1393
Mailing Address
-- JERRY JAY COLE do
1202 W CHEROKEE ST SUITE F
WAGONER, OK 74467-4629
Phone number: 918-485-1393