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Dr. Ethan Jernigan, DO
Student in an Organized Health Care Education/Training Program in Lawton, Oklahoma
NPI 1790305456

Ethan Jernigan is a Student in an Organized Health Care Education/Training Program based in Lawton, OK. Ethan Jernigan practices in Lawton, OK and has the professional credentials of DO. The NPI Number for Ethan Jernigan is 1790305456 and holds a License No. 7284 (Oklahoma).

The current practice location address for Ethan Jernigan is 3401 W Gore Blvd, Lawton, OK and can be reached out via phone at 580-355-8620.

Location: 3401 W Gore Blvd, Lawton, OK, 73505-6332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790305456
Provider Name
Ethan Jernigan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3401 W Gore Blvd, Lawton, OK, 73505-6332
Phone Number
580-355-8620
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3401 W Gore Blvd
City
Lawton
State
Oklahoma
Zip
73505-6332
Phone Number
580-355-8620
Fax Number
person
Provider Business Mailing Address Details
Address
3401 W Gore Blvd
City
Lawton
State
Oklahoma
Zip
73505-6332
Phone Number
580-355-8620
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7284 (Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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