Individual provider · Type 1 NPI
Jennifer Robin Putnam, PA
Surgical Physician Assistant · Midwest City, OK
NPI number
1366775611
Active
Practice location
1342 S Douglas Blvd, Suite A
Midwest City, OK 73130-5215
Fax (405) 455-3358
Mailing address
8 SW 89th St, Ste 100
Oklahoma City, OK 73139-8534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2115 (OK) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Midwest City
About NPI 1366775611
Jennifer Robin Putnam, PA's National Provider Identifier is 1366775611, issued on Sep 17, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Midwest City, OK. The record was last updated on Feb 14, 2017.