NPI 1588521413
Jerson Penaflor
Practice location
- Address
- 905 S Main St, Shattuck, OK 73858-9205
- Phone
- (580) 938-5518
- Fax
- (580) 938-5335
- Mailing address
- 1118 S Summer St, Shattuck, OK 73858-9424
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1588521413
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jan 2026
- Record last updated
- 5 Jan 2026
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.