Dr JERRY D BRAZIEL is a male medical professional, specializing in Physician Assistant. He graduated in 2014.
URGENT CARE CENTER OF ARDMORE INC
908 N ROCKFORD RD
ARDMORE
OK
734012540
Tel: 5802667771
| Npi | 1528462603 |
| Pac Id | 8527383595 |
| Professional Enrollment Id | I20150216000090 |
| Last Name | BRAZIEL |
| First Name | JERRY |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | URGENT CARE CENTER OF ARDMORE INC |
| Group Practice Pac Id | 1951434083 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 908 N ROCKFORD RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ARDMORE |
| State | OK |
| Zip Code | 734012540 |
| Phone Number | 5802667771 |
| Hospital Affiliation Ccn 1 | 371329 |
| Hospital Affiliation Lbn 1 | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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