NPI 1487878518

Jerry Wayne Spivey

Practitioner Driver Oklahoma City, OK

Practice location

Address: 1215 N Klein Ave, Oklahoma City, OK 73106-4616
Phone: (405) 204-0139

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1487878518
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.