Jerry David Whatley, MD

NPI #1780634816 in Ardmore, Oklahoma

Provider Information

NPI Number: 1780634816
Entity Type: Individual
Name: Jerry David Whatley, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine - Adolescent Medicine
Credential: MD
Enumeration Date: May 11, 2006
Last Updated: Jan 7, 2011

Practice Location

Address: 509 GRAND AVE
City: Ardmore
State: Oklahoma
ZIP Code: 73401-4338
Phone: (580) 223-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Adolescent Medicine — Adolescent Medicine	207QA0000X	Primary

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