Individual provider · Type 1 NPI

Demetrious Farrow, PA-C

Surgical Physician Assistant · Oklahoma City, OK

NPI number 1598754608 Active

Practice location

4120 W Memorial Rd, Ste 300
Oklahoma City, OK 73120-9322

Fax (405) 748-2920

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1249 (OK)

Surgical Physician Assistant: Definition to come...

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About NPI 1598754608

Demetrious Farrow, PA-C's National Provider Identifier is 1598754608, issued on Oct 20, 2005. 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 Jun 7, 2011.