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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1037 (OK) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers 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.