| Mr Jerry Gale Davidson, PA | |
|
429 W Elm St, Hobart, OK 73651-1615 | |
| (580) 726-3324 | |
| Not Available |
| Full Name | Mr Jerry Gale Davidson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 429 W Elm St, Hobart, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790928935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 194 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Gale Davidson, PA 208 N Lowe St, Hobart, OK 73651-2422 Ph: (580) 726-2209 | Mr Jerry Gale Davidson, PA 429 W Elm St, Hobart, OK 73651-1615 Ph: (580) 726-3324 |
Mr. Jeffrey Don Phillips, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 429 W Elm St, Hobart, OK 73651 Phone: 580-726-3324 | |
Catherine Pazoureck, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 429 W Elm St, Hobart, OK 73651 Phone: 580-726-3324 |