David Terrance Abbott I, PA
Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1881621241
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881621241
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Terrance Abbott I
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA230 | OK | Yes |
Practice location
2225 Sw 59th StOklahoma City, OK 73119-7026
Phone 405-688-7700
Mailing address
206 Steve CtYukon, OK 73099-6549
Phone 405-831-5698
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