Individual
JANE MARIA PAVLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8420
(405) 419-8460
Mailing address
6205 N SANTE FE STREET, SUITE 200, OKLAHOMA CITY, OK 73118-7536
(405) 427-6776
(405) 419-5475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200216550A
—
OK
Enumeration date
09/21/2007
Last updated
06/11/2009
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