Isaac Leland Schmiedel, PA-C
Physician Assistant in Choctaw, OK. Individual provider (NPI-1).
NPI number1306535976
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1306535976
- Entity type
- Individual (NPI-1)
- Name
- Mr. Isaac Leland Schmiedel
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2023
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5044 | OK | Yes |
Practice location
14321 Ne 23rd StChoctaw, OK 73020-8624
Phone 405-342-0255 · Fax 405-610-6960
Mailing address
14321 Ne 23rd StChoctaw, OK 73020-8624
Phone 405-342-0255 · Fax 405-610-6960
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Other Physician Assistant providers in Choctaw, OK
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All 5 Physician Assistant providers in Choctaw · All 265 providers in Choctaw
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