MR. John Medwin Terry JR.

NPI #1235605817 in Ardmore, Oklahoma

Provider Information

NPI Number: 1235605817
Entity Type: Individual
Name: MR. John Medwin Terry JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 2428 AUTUMN RUN STE B
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2222
Phone: (580) 220-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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