Mr. Erron Cody Proctor, PAC
Mr. Erron Cody Proctor, PAC is a Physician Assistant in Konawa, Oklahoma. Qualified in 2004, 22 years ago. Practices with Central Oklahoma Family Medical Center Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 22
- Licensed in
- OK
- In the registry since
- 2006
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
527 W 3rd StKonawa, OK 74849-1415
Phone: (580) 925-3286
Fax: (580) 925-2362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1410 (OK) |
|---|
Record details
| NPI number | 1427067859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | November 19, 2021 |
| Certification date | November 19, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Central Oklahoma Family Medical Center Inc — 57 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |