Individual provider · Type 1 NPI
Billy Grant Sanders, PA
Medical Physician Assistant · Choctaw, OK
NPI number
1164597860
Active
Practice location
15679 NE 23rd St
Choctaw, OK 73020-8592
Mailing address
PO Box 10
Choctaw, OK 73020-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1561 (OK) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Choctaw
About NPI 1164597860
Billy Grant Sanders, PA's National Provider Identifier is 1164597860, issued on Nov 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Choctaw, OK. The record was last updated on Sep 21, 2025.