Unknown Individual – Medical Physician Assistant, NPI 1114094158
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Country Club Road, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748202847
Phone: (580) 436-3980
Type: Location
2218, Sycamore Street, McAlester, Pittsburg County, Oklahoma, 74501, United States
MCALESTER, OK 745013243
Phone: (918) 916-9311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74820)
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