MRS. SHANNAN CARMOUCHE, PA

Physician Assistant

Active Individual
NPI: 1770560161

Practice Address

9800 BROADWAY EXTENSION
SUITE 203
Oklahoma City, OK 73114

Phone: (405) 419-5412

Specialties

Specialty Code Primary License
Surgery 208600000X No 1162 (OK)
Surgery - Vascular Surgery 2086S0129X No 1162 (OK)
Physician Assistant 363A00000X Yes 1162 (OK)
Physician Assistant - Medical 363AM0700X No 1162 (OK)

Frequently Asked Questions

NPI 1770560161 is the National Provider Identifier for MRS. SHANNAN CARMOUCHE, PA, a Physician Assistant provider located in Oklahoma City, OK. This NPI was enumerated on December 27, 2005.
MRS. SHANNAN CARMOUCHE, PA practices at 9800 BROADWAY EXTENSION, SUITE 203, Oklahoma City, OK 73114.

Quick Facts

NPI
1770560161
Type
Individual
Enumerated
Dec 27, 2005
Last Updated
Feb 3, 2016

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