| Jtm Pivot Corp | |
|
800 W 18th St Ste 100 Edmond OK 73013-3759 | |
| (405) 315-8180 | |
| (405) 216-5724 |
| Full Name | Jtm Pivot Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 800 W 18th St Ste 100, Edmond, Oklahoma |
| Authorized Official Name and Position | Jerry T Mclaughlin (PRESIDENT) |
| Authorized Official Contact | 4053158180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtm Pivot Corp 1708 Nw 39th St Oklahoma City OK 73118-2608 Ph: (405) 315-8180 | Jtm Pivot Corp 800 W 18th St Ste 100 Edmond OK 73013-3759 Ph: (405) 315-8180 |
| NPI Number | 1497362305 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/27/2020 |
| Certification Date | 09/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497362305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Secondary |
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