| NPI | 1720633571 |
|---|---|
| Doing Business As | DR. JERRY WHATLEY |
| Entity Type | Organization |
| Authorized Contact | RYAN HARDAWAY General Manager 918-687-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |