JERRY DAVID WHATLEY

ARDMORE, OK
NPI1780634816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0000X Family Medicine Adolescent Medicine
(Licence: OK  19096)
Enumeration Date2006-05-11
Last Update Date2011-01-07
Business Address
JERRY DAVID WHATLEY MD
509 GRAND AVE
ARDMORE, OK 73401-4338
Phone number: 580-223-3300
Mailing Address
JERRY DAVID WHATLEY MD
936 DEESE RD
ARDMORE, OK 73401-9315
Phone number: 580-224-9035
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