Debra Lou Tooker PA

NPI 1164728739 - Physician Assistant - 363AM0700X

NPI Details
NPI 1164728739
Gender Female
Enumeration Date 01/31/2011
Last Updated 12/23/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
1102 CRESTWOOD CIR
MENA AR, 71953-5513, US
Phone (479) 394-7301
Fax (479) 394-7160
Business Location
1102 CRESTWOOD CIR
MENA AR, 71953-5513, US
Phone (479) 394-7301
Fax (479) 394-7160
Toxanomy
Taxonomy Code 363AM0700X
License State Arkansas
License Number PA-432
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According to our database, Debra Lou Tooker PA NPI is 1164728739, taxonomy code is 363AM0700X and license number is PA-432, license state is located at Arkansas. Debra Lou Tooker PA physically located at 1102 Crestwood Cir, Mena AR, 71953-5513. NPI Number Debra Lou Tooker PA has the Individual type.

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1164728739 NPI number is provided on an as is basis without warranty of any kind. 1164728739 is maintained by the National Plan & Provider Enumeration System. The contents of Debra Lou Tooker PA are for informational purposes only.