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Angela King

Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1295136166
StatusActive
Last updated in NPPESDec 8, 2021

Details

NPI
1295136166
Entity type
Individual (NPI-1)
Name
Angela King
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2014
Certification date
Dec 8, 2021
Last updated
Dec 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

1025 Straka Ter
Oklahoma City, OK 73139-2544

Phone 405-632-6688

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818

Phone 405-632-6688

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