Cassandra Gentry P.A.

NPI 1114188232 - Physician Assistant - 363AM0700X

NPI Details
NPI 1114188232
Gender Female
Enumeration Date 06/20/2008
Last Updated 06/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
11601 S WESTERN AVE
OKLAHOMA CITY OK, 73170-5823, US
Phone (405) 691-5208
Fax (405) 378-0556
Business Location
11601 S WESTERN AVE
OKLAHOMA CITY OK, 73170-5823, US
Phone (405) 691-5208
Fax (405) 378-0556
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number 1515
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According to our database, Cassandra Gentry P.A. NPI is 1114188232, taxonomy code is 363AM0700X and license number is 1515, license state is located at Oklahoma. Cassandra Gentry P.A. physically located at 11601 S Western Ave, Oklahoma City OK, 73170-5823. NPI Number Cassandra Gentry P.A. has the Individual type.

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1114188232 NPI number is provided on an as is basis without warranty of any kind. 1114188232 is maintained by the National Plan & Provider Enumeration System. The contents of Cassandra Gentry P.A. are for informational purposes only.