Heather Hennigan Wadley PA

NPI 1093908956 - Physician Assistant - 363A00000X

NPI Details
NPI 1093908956
Gender Female
Enumeration Date 08/23/2007
Last Updated 02/09/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
619 NE 13TH ST
OKLAHOMA CITY OK, 73104-5001, US
Phone (405) 271-6074
Fax (405) 271-7216
Business Location
619 NE 13TH ST
OKLAHOMA CITY OK, 73104-5001, US
Phone (405) 271-6074
Fax (405) 271-7216
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 1423
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According to our database, Heather Hennigan Wadley PA NPI is 1093908956, taxonomy code is 363A00000X and license number is 1423, license state is located at Oklahoma. Heather Hennigan Wadley PA physically located at 619 Ne 13th St, Oklahoma City OK, 73104-5001. NPI Number Heather Hennigan Wadley PA has the Individual type.

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1093908956 NPI number is provided on an as is basis without warranty of any kind. 1093908956 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Hennigan Wadley PA are for informational purposes only.