Individual provider · Type 1 NPI

Randall Ashley Pape, PA-C

Surgical Physician Assistant · Oklahoma City, OK

NPI number 1891761136 Active

Practice location

9800 Broadway Extension, Suite 201
Oklahoma City, OK 73114

Fax (405) 424-5431

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1891761136

Randall Ashley Pape, PA-C's National Provider Identifier is 1891761136, issued on Feb 27, 2006. 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 Feb 19, 2016.