Individual
AMY ALANE MIKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N GREEN AVE, PURCELL, OK 73080-1699
(405) 527-6524
Mailing address
1500 N GREEN AVE, PURCELL, OK 73080-1699
(405) 527-6524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2929
OK
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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