Individual provider · NPI-1

Jaclyn D Galdamez

Physician Assistant · Muskogee, OK

NPI number1720794555
StatusActive
Last updated in NPPESMar 18, 2025

Details

NPI
1720794555
Entity type
Individual (NPI-1)
Name
Jaclyn D Galdamez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2023
Certification date
Mar 18, 2025
Last updated
Mar 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4989OKYes

Practice location

350 S 40th St
Muskogee, OK 74401-4915

Phone 189-684-2663 · Fax 918-681-6804

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other practice locations

300 Rockefeller Dr
Muskogee, OK 74401-5075

Phone 918-684-2663 · Fax 918-681-6804

100 S Bliss Ave
Tahlequah, OK 74464-2512

Phone 918-458-3100

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