MR. WILLIE STREET, P.A.-C

Physician Assistant

Active Individual
NPI: 1215005244

Practice Address

600 E GRAND AVE
Tonkawa, OK 74653

Phone: (580) 628-4800

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 631 (OK)

Frequently Asked Questions

NPI 1215005244 is the National Provider Identifier for MR. WILLIE STREET, P.A.-C, a Physician Assistant provider located in Tonkawa, OK. This NPI was enumerated on November 30, 2006.
MR. WILLIE STREET, P.A.-C practices at 600 E GRAND AVE, Tonkawa, OK 74653.

Quick Facts

NPI
1215005244
Type
Individual
Enumerated
Nov 30, 2006
Last Updated
Mar 7, 2012

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