Lookup NPI Numbers from the NPI Registry
NPI Profile for CENTRAL PA in OKLAHOMA CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1104131721 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/09/2010 | |
| Last updated | 11/12/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CENTRAL PA