Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERSON PENAFLOR
Active Sole ProprietorMedical Technologist · SHATTUCK, OK
Registration Details
- NPI Number
- 1588521413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2026 (0.29502009782002 yrs)
- Last Updated
- Jan 5, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 S MAIN STSHATTUCK, OK, 738589205Browse 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.