Mr. Willie J Street, PA-C
Mr. Willie J Street, PA-C is a Physician Assistant in Tonkawa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
600 E Grand AveTonkawa, OK 74653-3545
Phone: (580) 628-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 631 (OK) |
|---|
Record details
| NPI number | 1215005244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2006 |
| Last updated in NPPES | March 7, 2012 |
Other providers in Tonkawa
-
Tonkawa Healthcare Systems PC
600 E Grand Ave, Tonkawa, OK 74653-3545 · (580) 628-4800