person
Jerry Braziel, PA-C
Medical Physician Assistant in Fairview, Oklahoma
NPI 1528462603

Jerry Braziel is a Medical Physician Assistant based in Enid, OK and is specialized in Medical. Jerry Braziel practices in Fairview, OK and has the professional credentials of PA-C. The NPI Number for Jerry Braziel is 1528462603 and holds a License No. 2442 (Oklahoma).

The current practice location address for Jerry Braziel is 519 E State Rd, Fairview, OK and can be reached out via phone at 580-227-2585.

Location: 519 E State Rd, Fairview, OK, 73701-5201
person
Provider Profile Details
NPI Number
1528462603
Provider Name
Jerry Braziel
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
519 E State Rd, Fairview, OK, 73701-5201
Phone Number
580-227-2585
Fax Number
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200574140A 05 OK
institution
Provider Business Practice Location Address Details
Address
519 E State Rd
City
State
Zip
73737-1458
Phone Number
580-227-2585
Fax Number
person
Provider Business Mailing Address Details
Address
519 E State Rd
City
State
Zip
73737-1458
Phone Number
580-227-2585
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2442 (Oklahoma)
Definition
Definition to come...
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