Juan Espino, PA-C
Physician Assistant in Tulsa, OK. Individual provider (NPI-1).
NPI number1982303988
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1982303988
- Entity type
- Individual (NPI-1)
- Name
- Juan Espino
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2023
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1809 E 13th St Ste 402Tulsa, OK 74104-4431
Phone 918-599-8200
Mailing address
1809 E 13th St Ste 402Tulsa, OK 74104-4431
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