Dr. Jerry C Childs Jr., D.O.
Emergency Medicine, Emergency Medical Services in Edmond, OK. Individual provider (NPI-1).
NPI number1639137409
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1639137409
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry C Childs Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2006
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 2157 | OK | Yes |
Practice location
1520 Morning StarEdmond, OK 73034-6579
Phone 405-659-8840
Mailing address
1520 Morning StarEdmond, OK 73034-6579
Other practice locations
700 S Telephone Road
Moore, OK 73160
Moore, OK 73160
Phone 405-793-9355
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