Shelley Suzanne Cragg PA-C

NPI 1720161698 - Physician Assistant - 363AM0700X

NPI Details
NPI 1720161698
Gender Female
Enumeration Date 10/23/2006
Last Updated 08/26/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2115 PARKVIEW DR
EL RENO OK, 73036-2109, US
Phone (405) 262-2640
Fax
Business Location
6100 WALNUT LN
OKLAHOMA CITY OK, 73132-5621, US
Phone (405) 621-2112
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number 1030
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According to our database, Shelley Suzanne Cragg PA-C NPI is 1720161698, taxonomy code is 363AM0700X and license number is 1030, license state is located at Oklahoma. Shelley Suzanne Cragg PA-C physically located at 2115 Parkview Dr, El Reno OK, 73036-2109. NPI Number Shelley Suzanne Cragg PA-C has the Individual type.

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1720161698 NPI number is provided on an as is basis without warranty of any kind. 1720161698 is maintained by the National Plan & Provider Enumeration System. The contents of Shelley Suzanne Cragg PA-C are for informational purposes only.