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Contact Information

CENTRAL PA, LLC
3601 N MAY AVE
SUITE C
OKLAHOMA CITY, OK73112-6641
 Phone: 405-601-0954
 Fax: 405-601-3750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CENTRAL PA, LLC

NPI Number 1710289483
LBN Legal business name CENTRAL PA, LLC
Authorized official GREGORY DINWIDDIE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2010
Last updated 12/01/2010 - About 16 years ago
Identifiers
OK License # 1037
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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