Organization · Type 2 NPI

Central PA

Surgical Physician Assistant · Oklahoma City, OK

NPI number 1104131721 Active

Practice location

10701 Pond Meadow Dr
Oklahoma City, OK 73151-9149

Fax (405) 771-4151

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1037 (OK)

Surgical Physician Assistant: Definition to come...

Other surgical physician assistant providers in Oklahoma City

See all in Oklahoma City →

About NPI 1104131721

Central PA's National Provider Identifier is 1104131721, issued on Aug 9, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 12, 2010.