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JERRY BRAZIEL P.A.-C

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1528462603
Provider Type
Individual Provider (NPI-1)
Credentials
P.A.-C
Status
Active

Contact & Location

Address
519 E STATE RD, FAIRVIEW, OK, 737371458
Phone
(580) 227-2585

Specialties & Taxonomies

Physician Assistant, Medical Primary License: OK #2442

All Addresses

LOCATION

519 E STATE RD

FAIRVIEW, OK, 737371458

(580) 227-2585

MAILING

714 NINNEKAH ST

ENID, OK, 737015201

(580) 603-1762