NPI Profile for JANET L PLAXICO in TAHLEQUAH, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1194759134 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 07/10/2006 | |
| Last updated | 05/12/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JANET L PLAXICO
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