Jerry Medlock
Jerry Medlock is a Peer Specialist in Del City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4312 Vfw Dr Apt # 7 4312 Vfw DR Apt # 7Del City, OK 73115
Phone: (405) 468-0922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1285164392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4312 Vfw Dr Apt 7, Del City, OK 73115-2139 |
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