Jerry David Whatley is an Adolescent Medicine (Family Medicine) Physician based in Ardmore, OK and is specialized in Adolescent Medicine. Jerry David Whatley practices in Ardmore, OK and has the professional credentials of MD. The NPI Number for Jerry David Whatley is 1780634816 and holds a License No. 19096 (Oklahoma).
The current practice location address for Jerry David Whatley is 509 Grand Ave, Ardmore, OK and can be reached out via phone at 580-223-3300 and via fax at 580-223-3320.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100114070G | 01 | OK | SOONERCARE MCD # |
| 19096 | 01 | OK | OKLAHOMA LICENSE # |
| 731612230 | 01 | OK | TAX ID # |
| 100114070A | 05 | OK |
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