Individual provider · Type 1 NPI
Douglas Duffy, PAC
Surgical Physician Assistant · Ada, OK
NPI number
1184707457
Active
Practice location
520 N Monte Vista St Ste C
Ada, OK 74820-4674
Fax (580) 272-0657
Mailing address
100 Mcdougal Dr
Holdenville, OK 74848-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601002737 (MI) |
| Surgical Physician Assistant Primary | 363AS0400X | 407 (OK) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Ada
About NPI 1184707457
Douglas Duffy, PAC's National Provider Identifier is 1184707457, issued on Oct 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ada, OK. The record was last updated on Aug 26, 2019.