Individual provider · Type 1 NPI

Charles Michael Worsham, P.A.

Medical Physician Assistant · Tulsa, OK

NPI number 1922065291 Active

Practice location

6100 S Yale Blvd, C/o Emp
Tulsa, OK 74129-5101

Call (918) 502-3939 Map

Mailing address

PO Box 22063, Dept 0289
Tulsa, OK 74121-2063

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X570 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1922065291

Charles Michael Worsham, P.A.'s National Provider Identifier is 1922065291, issued on Apr 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on May 1, 2008.