Austin Clay Whitefield PTA

NPI 1750668885 - Specialist - 174400000X

NPI Details
NPI 1750668885
Gender Male
Enumeration Date 11/03/2011
Last Updated 11/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
511 N MONTE VISTA ST
ADA OK, 74820-4611, US
Phone (580) 436-3633
Fax
Business Location
511 N MONTE VISTA ST
ADA OK, 74820-4611, US
Phone (580) 436-3633
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oklahoma
License Number 2098
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According to our database, Mr. Austin Clay Whitefield PTA NPI is 1750668885, taxonomy code is 174400000X and license number is 2098, license state is located at Oklahoma. Austin Clay Whitefield PTA physically located at 511 N Monte Vista St, Ada OK, 74820-4611. NPI Number Austin Clay Whitefield PTA has the Individual type.

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1750668885 NPI number is provided on an as is basis without warranty of any kind. 1750668885 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Clay Whitefield PTA are for informational purposes only.