Individual provider · Type 1 NPI

Stephen Vance Paul, PA

Medical Physician Assistant · Ardmore, OK

NPI number 1659666428 Active

Practice location

20 12th Ave NW
Ardmore, OK 73401-5722

Fax (580) 226-6213

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA770 (OK)
Medical Physician Assistant Primary 363AM0700XPA770 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1659666428

Stephen Vance Paul, PA's National Provider Identifier is 1659666428, issued on Jun 9, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ardmore, OK. The record was last updated on Jun 9, 2011.