Individual
MARCIA R PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 713-4740
(405) 713-2974
Mailing address
2525 NW EXPRESSWAY, STE 610, OKLAHOMA CITY, OK 73112-7251
(405) 286-9465
(405) 286-9462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA844
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011940A
—
OK
Enumeration date
03/09/2006
Last updated
05/11/2017
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