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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERSON PENAFLOR

Active Sole Proprietor

JERSON PENAFLOR is a Medical Technologist healthcare provider located in SHATTUCK, Oklahoma. NPI 1588521413 is currently active in the NPPES registry. Verify at CMS.

Medical Technologist · SHATTUCK, OK

Registration Details

NPI Number
1588521413
Provider Type
Individual
Gender
Male
NPI Issued
Jan 5, 2026 (0.42128663128884 yrs)
Last Updated
Jan 5, 2026
Sole Proprietor
Yes

Practice Information

Address
905 S MAIN ST
SHATTUCK, OK, 738589205
Browse OK providers · Browse ZIP 73858
Phone
5809385518
Fax
5809385335
Primary Specialty
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.