Annette Woodall PAC

NPI 1578567590 - Physician Assistant - 363A00000X

NPI Details
NPI 1578567590
Gender Female
Enumeration Date 06/08/2005
Last Updated 12/10/2013
Entity Type Individual
Active Over 12 years ago
Practice Location
825 NE 10TH ST
OUPB 4500
OKLAHOMA CITY OK, 73104-5417, US
Phone (405) 271-5789
Fax (405) 271-1001
Business Location
1122 NE 13TH ST
ORI 274
OKLAHOMA CITY OK, 73117-1039, US
Phone (405) 271-1515
Fax (405) 271-1001
Taxonomy Code 363A00000X
License State Oklahoma
License Number 367
Remove 1578567590 NPI Number

According to our database, Annette Woodall PAC NPI is 1578567590, taxonomy code is 363A00000X and license number is 367, license state is located at Oklahoma. Annette Woodall PAC physically located at 825 Ne 10th St, Oklahoma City OK, 73104-5417. NPI Number Annette Woodall PAC has the Individual type.

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1578567590 NPI number is provided on an as is basis without warranty of any kind. 1578567590 is maintained by the National Plan & Provider Enumeration System. The contents of Annette Woodall PAC are for informational purposes only.