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Individual

MISS CARLY FERGUSON PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
825 NE 10TH ST STE 1C, OKLAHOMA CITY, OK 73104-5417
(405) 271-2663
(405) 271-3074
Mailing address
825 NE 10TH ST STE 1C, OKLAHOMA CITY, OK 73104-5417
(405) 271-4426
(405) 271-6762

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01744
NC
363A00000X
Physician Assistant
Primary
4708
OK
363A00000X
Physician Assistant
50.004349RX
OH

Other

Enumeration date
02/23/2009
Last updated
01/29/2025
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