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CENTRAL PA NPI 1104131721


NPI Information

NPI: 1104131721
Provider Name: CENTRAL PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
10701 POND MEADOW DR
OKLAHOMA CITY, OK
ZIP 73151
Phone: (405) 771-4151
Get Directions

CENTRAL PA is a surgical physician assistant in Oklahoma City, OK. CENTRAL PA NPI is 1104131721. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10701 POND MEADOW DR
OKLAHOMA CITY, OK
ZIP 73151-149
Phone: (405) 771-4151
Fax: (405) 771-4151

The provider's authorized official is Greg W Dinwiddie .
The authorized official title is President and has the following contact phone number (405) 771-4151.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 11/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical1037OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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