Mandi Brooke Rhodes, PA-C
Physician Assistant, Medical in Moore, OK. Individual provider (NPI-1).
NPI number1114153293
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1114153293
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mandi Brooke Rhodes
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2009
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 1836 | OK | Yes |
Practice location
1400 Se 4th StSte H
Moore, OK 73160-7329
Phone 405-799-7400 · Fax 405-799-7405
Mailing address
1400 Se 4th StSte H
Moore, OK 73160-7329
Phone 405-799-7400 · Fax 405-799-7405
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Other Medical Physician Assistant providers in Moore, OK
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- Lisa Danette West, PA-CNPI 1104896760
All 6 Medical Physician Assistant providers in Moore · All 1,269 providers in Moore
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