Julia Street, PA
Physician Assistant in Stillwater, OK. Individual provider (NPI-1).
NPI number1376902007
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1376902007
- Entity type
- Individual (NPI-1)
- Name
- Julia Street
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2016
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2652 | OK | Yes |
Other names
- Julia Fell (Former Name)
Practice location
1201 S Adams StStillwater, OK 74074-5476
Phone 405-743-7300
Mailing address
Po Box 720006Norman, OK 73070-4006
Phone 405-743-7300
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All 28 Physician Assistant providers in Stillwater · All 1,744 providers in Stillwater
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