Individual provider · Type 1 NPI

Samuel Elder, PA-C

Medical Physician Assistant · Norman, OK

NPI number 1104281435 Active

Practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Call (405) 515-1500 Map

Mailing address

2900 S Telephone Rd
Moore, OK 73160-2968

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2560 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1104281435

Samuel Elder, PA-C's National Provider Identifier is 1104281435, issued on Dec 31, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norman, OK. The record was last updated on May 10, 2016.