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Joanna George

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

NPI number1831957331
StatusActive
Last updated in NPPESNov 11, 2024

Details

NPI
1831957331
Entity type
Individual (NPI-1)
Name
Joanna George
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2024
Certification date
Nov 11, 2024
Last updated
Nov 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5400OKYes

Practice location

220 S Van Buren St
Enid, OK 73703-5812

Phone 580-234-9355

Mailing address

4055 Valley View Ln
Dallas, TX 75244-5074

Phone 855-984-5121

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